Utah
Division of Occupational and Professional Licensing
JACK LENORE VANDYKE
Dental - Dentist Anesthesia Class I Permit
License number
138786-9921
Date granted
01/01/1910
Date expires
12/31/1982
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
LONGVIEW, WA 98632
utahlicensing.org
ID 29715819
LAST UPDATED 2026-04-20 07:03:31 UTC
LAST UPDATED 2026-04-20 07:03:31 UTC
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