Utah
Division of Occupational and Professional Licensing
BRIAN JERRY BLACK
Dental - Dentist Anesthesia Class Ii Permit
License number
7386388-9922
Date granted
06/23/2009
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Superceded
Address
RIVERTON, UT 84065
utahlicensing.org
ID 29717545
LAST UPDATED 2024-05-02 15:29:01 UTC
LAST UPDATED 2024-05-02 15:29:01 UTC
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