Utah
Division of Occupational and Professional Licensing
GRANT BRAIN CANNON
Dental - Dentist Anesthesia Class Iv Permit
License number
133953-9924
Date granted
06/25/1972
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iv Permit
Status
Active
Address
SALT LAKE CITY, UT 84124
utahlicensing.org
ID 29720025
LAST UPDATED 2024-04-17 02:31:53 UTC
LAST UPDATED 2024-04-17 02:31:53 UTC
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