Utah
Division of Occupational and Professional Licensing
FAYETTE RALPH STEPHENS
Dental - Dentist Anesthesia Class I Permit
License number
129959-9921
Date granted
07/01/1963
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SALT LAKE CITY, UT 84109
utahlicensing.org
ID 29715576
LAST UPDATED 2024-02-17 04:03:24 UTC
LAST UPDATED 2024-02-17 04:03:24 UTC
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