License holder summary

BLAKE LYNN MATTHEWS is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for BLAKE LYNN MATTHEWS is PROVO, UT 846044445. This licensed professional license is current. The license was granted 09/02/1994 and expired on 05/31/2016.

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

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