Utah
Division of Occupational and Professional Licensing
MICHAEL R COTTAM
Dental - Dentist Anesthesia Class Iii Permit
License number
8296939-9923
Date granted
05/21/2012
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Active
Address
SANDY, UT 84094
utahlicensing.org
ID 29719857
LAST UPDATED 2024-03-11 03:49:29 UTC
LAST UPDATED 2024-03-11 03:49:29 UTC
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