Utah
Division of Occupational and Professional Licensing
BENJAMIN LEVI STALLER
Dental - Dentist Anesthesia Class Ii Permit
License number
8772825-9922
Date granted
08/20/2013
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
LOUISVILLE, KY 40213
utahlicensing.org
ID 29717430
LAST UPDATED 2024-03-15 00:32:37 UTC
LAST UPDATED 2024-03-15 00:32:37 UTC
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