Utah
Division of Occupational and Professional Licensing
BRETT MICHAEL PACKHAM
Dental - Dentist Anesthesia Class I Permit
License number
6362621-9921
Date granted
11/09/2006
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class I Permit
Status
Superceded
Address
KAYSVILLE, UT 84037
utahlicensing.org
ID 29715054
LAST UPDATED 2024-02-11 13:47:19 UTC
LAST UPDATED 2024-02-11 13:47:19 UTC
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