Utah
Division of Occupational and Professional Licensing
JACK DENZIL JORGENSEN
Dental - Dentist Anesthesia Class Iii Permit
License number
145455-9923
Date granted
05/06/1994
Date expires
05/31/2006
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Expired
Address
VANCOUVER, WA 98686
utahlicensing.org
ID 29719743
LAST UPDATED 2024-05-07 00:36:03 UTC
LAST UPDATED 2024-05-07 00:36:03 UTC
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