License holder summary

JACQUELYN NICHOLE PETERSEN is a Dental - Dental Hygienist With Local Anesthesia licensed to practice in Utah. The address on file for JACQUELYN NICHOLE PETERSEN is SUGAR LAND, TX 77478. This licensed professional license is not current. The license was granted 06/23/2007 and expired on 05/31/2014.

Utah

Division of Occupational and Professional Licensing

JACQUELYN NICHOLE PETERSEN
Dental - Dental Hygienist With Local Anesthesia
License number
6638648-9920
Date granted
06/23/2007
Date expires
05/31/2014
Class
Dental - Dental Hygienist With Local Anesthesia
Status
Expired
Address
SUGAR LAND, TX 77478
utahlicensing.org
ID 29712823
LAST UPDATED 2026-05-23 07:02:08 UTC

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