Utah
Division of Occupational and Professional Licensing
THEODORE R SMALL
Dental - Dentist Anesthesia Class Ii Permit
License number
140487-9922
Date granted
07/15/1981
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
BERKELEY, CA 94709
utahlicensing.org
ID 29719434
LAST UPDATED 2024-04-22 08:40:13 UTC
LAST UPDATED 2024-04-22 08:40:13 UTC
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