License holder summary

CLINTON TRAVIS BLACKWOOD is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for CLINTON TRAVIS BLACKWOOD is SALT LAKE CITY, UT 84124. This licensed professional license is current. The license was granted 06/24/2005 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

CLINTON TRAVIS BLACKWOOD
Dental - Dentist Anesthesia Class Ii Permit
License number
5936346-9922
Date granted
06/24/2005
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 84124
utahlicensing.org
ID 29717698
LAST UPDATED 2024-04-09 08:27:37 UTC

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