License holder summary

BENJAMIN LYNN RUSSELL is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for BENJAMIN LYNN RUSSELL is MIDWAY, UT 84049. This licensed professional license is current. The license was granted 09/20/2004 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

BENJAMIN LYNN RUSSELL
Dental - Dentist Anesthesia Class Ii Permit
License number
5729440-9922
Date granted
09/20/2004
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
MIDWAY, UT 84049
utahlicensing.org
ID 29717433
LAST UPDATED 2024-05-10 17:21:55 UTC

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