Utah
Division of Occupational and Professional Licensing
DAVID MICHAEL JACKSON
Dental - Dentist Anesthesia Class Iii Permit
License number
5138062-9923
Date granted
06/14/2005
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Active
Address
WEST VALLEY, UT 84120
utahlicensing.org
ID 29719698
LAST UPDATED 2024-02-26 14:25:13 UTC
LAST UPDATED 2024-02-26 14:25:13 UTC
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