Utah
Division of Occupational and Professional Licensing
CLARK ELMER FULLMER
Dental - Dentist Anesthesia Class I Permit
License number
129768-9921
Date granted
01/01/1911
Date expires
11/20/1997
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
SPRINGVILLE, UT 84663
utahlicensing.org
ID 29715200
LAST UPDATED 2024-02-01 19:03:13 UTC
LAST UPDATED 2024-02-01 19:03:13 UTC
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