Utah
Division of Occupational and Professional Licensing
BLAINE R COUSER
Dental - Dentist Anesthesia Class I Permit
License number
5172922-9921
Date granted
08/15/2002
Date expires
05/31/2008
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
KAYSVILLE, UT 84037
utahlicensing.org
ID 29714985
LAST UPDATED 2024-03-21 11:57:02 UTC
LAST UPDATED 2024-03-21 11:57:02 UTC
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