Utah
Division of Occupational and Professional Licensing
CLARK BANKS HICKEN
Dental - Dentist Anesthesia Class Ii Permit
License number
344606-9922
Date granted
07/17/1997
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SPANISH FORK, UT 84660
utahlicensing.org
ID 29717677
LAST UPDATED 2024-03-29 00:20:18 UTC
LAST UPDATED 2024-03-29 00:20:18 UTC
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