Utah
Division of Occupational and Professional Licensing
DOUGLAS WILLIAM SHAFER
Dental - Dentist Anesthesia Class I Permit
License number
9108346-9921
Date granted
08/18/2014
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
HILLSBORO, OR 97124
utahlicensing.org
ID 29715485
LAST UPDATED 2024-05-06 17:13:03 UTC
LAST UPDATED 2024-05-06 17:13:03 UTC
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