Utah
Division of Occupational and Professional Licensing
BO GORDYN CROFOOT
Dental - Dentist Anesthesia Class Iii Permit
License number
5961512-9923
Date granted
07/19/2005
Date expires
05/31/2008
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Expired
Address
REXBURG, ID 834401605
utahlicensing.org
ID 29719631
LAST UPDATED 2024-05-10 23:59:41 UTC
LAST UPDATED 2024-05-10 23:59:41 UTC
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