License holder summary

JASON TUCKER BLACKHAM is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for JASON TUCKER BLACKHAM is HONOLULU, HI 96818. This licensed professional license is current. The license was granted 08/06/1993 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

JASON TUCKER BLACKHAM
Dental - Dentist Anesthesia Class Ii Permit
License number
264631-9922
Date granted
08/06/1993
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
HONOLULU, HI 96818
utahlicensing.org
ID 29718304
LAST UPDATED 2024-05-09 12:15:36 UTC

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