Utah
Division of Occupational and Professional Licensing
BLAINE TAYLOR DIXON
Dental - Dentist Anesthesia Class Ii Permit
License number
131499-9922
Date granted
06/06/1988
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
MODESTO, CA 95355
utahlicensing.org
ID 29717444
LAST UPDATED 2026-05-16 10:23:14 UTC
LAST UPDATED 2026-05-16 10:23:14 UTC
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