License holder summary

JACOB A HASLEM is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for JACOB A HASLEM is FLAGSTAFF, AZ 86004. This licensed professional license is not current. The license was granted 01/10/2014 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

JACOB A HASLEM
Dental - Dentist Anesthesia Class I Permit
License number
8894816-9921
Date granted
01/10/2014
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Superceded
Address
FLAGSTAFF, AZ 86004
utahlicensing.org
ID 29715823
LAST UPDATED 2024-01-17 18:31:20 UTC

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