Utah
Division of Occupational and Professional Licensing
BLAINE ROLAND HANSEN
Dental - Dentist Anesthesia Class I Permit
License number
5123402-9921
Date granted
05/20/2002
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
LAS VEGAS, NV 89129
utahlicensing.org
ID 29714990
LAST UPDATED 2024-03-07 00:18:08 UTC
LAST UPDATED 2024-03-07 00:18:08 UTC
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