Utah
Division of Occupational and Professional Licensing
BRAD ALAN WAHLSTROM
Dental - Dentist Anesthesia Class Iii Permit
License number
4791609-9923
Date granted
04/19/2002
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Active
Address
SOUTH JORDAN, UT 840958725
utahlicensing.org
ID 29719634
LAST UPDATED 2024-02-18 19:39:33 UTC
LAST UPDATED 2024-02-18 19:39:33 UTC
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