License holder summary

DERRICK JON DICKERSON is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for DERRICK JON DICKERSON is MESA, AZ 852134120. This licensed professional license is not current. The license was granted 06/30/1997 and expired on 05/31/2000.

Utah

Division of Occupational and Professional Licensing

DERRICK JON DICKERSON
Dental - Dentist Anesthesia Class Ii Permit
License number
343468-9922
Date granted
06/30/1997
Date expires
05/31/2000
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
MESA, AZ 852134120
utahlicensing.org
ID 29717949
LAST UPDATED 2026-03-19 15:41:09 UTC

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