Utah
Division of Occupational and Professional Licensing
GRANT KIMBALL STUCKI
Dental - Dentist Anesthesia Class Iv Permit
License number
8504184-9924
Date granted
12/31/2012
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class Iv Permit
Status
Expired
Address
CHICAGO, IL 60613
utahlicensing.org
ID 29720026
LAST UPDATED 2026-06-09 13:07:28 UTC
LAST UPDATED 2026-06-09 13:07:28 UTC
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