License holder summary

JACOB VAUGHN LILJENQUIST is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for JACOB VAUGHN LILJENQUIST is APO, AP 963760833, JAPAN. This licensed professional license is current. The license was granted 08/31/2010 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

JACOB VAUGHN LILJENQUIST
Dental - Dentist Anesthesia Class I Permit
License number
7754866-9921
Date granted
08/31/2010
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
APO, AP 963760833, JAPAN
utahlicensing.org
ID 29715826
LAST UPDATED 2024-03-07 22:20:09 UTC

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