Utah
Division of Occupational and Professional Licensing
LARRY JAY BROADBENT
Dental - Dentist Anesthesia Class Ii Permit
License number
136046-9922
Date granted
01/01/1910
Date expires
05/31/2006
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Deceased
Address
PROVO, UT 84604
utahlicensing.org
ID 29718684
LAST UPDATED 2024-04-08 08:10:38 UTC
LAST UPDATED 2024-04-08 08:10:38 UTC
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