Utah
Division of Occupational and Professional Licensing
BRENT JOHANSEN
Dental - Dentist Anesthesia Class Ii Permit
License number
139612-9922
Date granted
07/09/1980
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
BLANDING, UT 84511
utahlicensing.org
ID 29717500
LAST UPDATED 2024-04-18 14:08:48 UTC
LAST UPDATED 2024-04-18 14:08:48 UTC
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