Utah
Division of Occupational and Professional Licensing
THOMAS RUSSELL VAN DYKE
Dental - Dentist Anesthesia Class I Permit
License number
133113-9921
Date granted
06/26/1968
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
FARR WEST, UT 84404
utahlicensing.org
ID 29717127
LAST UPDATED 2024-03-28 04:24:24 UTC
LAST UPDATED 2024-03-28 04:24:24 UTC
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