Utah
Division of Occupational and Professional Licensing
JAROM R BURBANK
Dental - Dentist Anesthesia Class I Permit
License number
7485620-9921
Date granted
04/29/2010
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
FORT BRAGG, NC 28307
utahlicensing.org
ID 29715904
LAST UPDATED 2024-03-27 19:08:38 UTC
LAST UPDATED 2024-03-27 19:08:38 UTC
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