License holder summary

ANDREW WAYNE PETERSON is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for ANDREW WAYNE PETERSON is SALT LAKE CITY, UT 841064076. This licensed professional license is not current. The license was granted 01/01/1910 and expired on 05/31/2000.

Utah

Division of Occupational and Professional Licensing

ANDREW WAYNE PETERSON
Dental - Dentist Anesthesia Class Ii Permit
License number
135863-9922
Date granted
01/01/1910
Date expires
05/31/2000
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Deceased
Address
SALT LAKE CITY, UT 841064076
utahlicensing.org
ID 29717392
LAST UPDATED 2024-02-24 10:20:50 UTC

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