License holder summary

CRAIG A BLACKHAM is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for CRAIG A BLACKHAM is FT DUCHESNE, UT 84026. This licensed professional license is not current. The license was granted 07/21/1995 and expired on 05/31/2014.

Utah

Division of Occupational and Professional Licensing

CRAIG A BLACKHAM
Dental - Dentist Anesthesia Class Ii Permit
License number
296101-9922
Date granted
07/21/1995
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
FT DUCHESNE, UT 84026
utahlicensing.org
ID 29717721
LAST UPDATED 2024-03-28 11:18:20 UTC

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