Utah
Division of Occupational and Professional Licensing
BRENT D HANSEN
Dental - Dentist Anesthesia Class I Permit
License number
131379-9921
Date granted
06/23/1967
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SPANISH FORK, UT 84660
utahlicensing.org
ID 29715038
LAST UPDATED 2024-04-27 09:12:24 UTC
LAST UPDATED 2024-04-27 09:12:24 UTC
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