License holder summary

LAURA PHILLIPS PROVINE is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for LAURA PHILLIPS PROVINE is SANDY, UT 84094. This licensed professional license is current. The license was granted 06/17/2014 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

LAURA PHILLIPS PROVINE
Dental - Dentist Anesthesia Class Ii Permit
License number
9070494-9922
Date granted
06/17/2014
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SANDY, UT 84094
utahlicensing.org
ID 29718693
LAST UPDATED 2024-02-12 22:43:34 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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