Utah
Division of Occupational and Professional Licensing
BLAKE LYNN MATTHEWS
Dental - Dentist Anesthesia Class Ii Permit
License number
275498-9922
Date granted
09/02/1994
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
PROVO, UT 846044445
utahlicensing.org
ID 29717447
LAST UPDATED 2024-02-08 18:27:28 UTC
LAST UPDATED 2024-02-08 18:27:28 UTC
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