Utah
Division of Occupational and Professional Licensing
RANDY REID BLACK
Dental - Dentist Anesthesia Class Ii Permit
License number
136075-9922
Date granted
01/01/1910
Date expires
10/04/2009
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Deceased
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29719044
LAST UPDATED 2024-05-05 21:14:12 UTC
LAST UPDATED 2024-05-05 21:14:12 UTC
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