Utah
Division of Occupational and Professional Licensing
ADAM RICHARD VAN LEEUWEN
Dental - Dentist Anesthesia Class Ii Permit
License number
6610915-9922
Date granted
06/05/2007
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29717329
LAST UPDATED 2024-02-18 05:58:59 UTC
LAST UPDATED 2024-02-18 05:58:59 UTC
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