License holder summary

JAY BLAINE SORENSON is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for JAY BLAINE SORENSON is SALT LAKE CITY, UT 841074954. This licensed professional license is not current. The license was granted 01/01/1910 and expired on 10/08/2005.

Utah

Division of Occupational and Professional Licensing

JAY BLAINE SORENSON
Dental - Dentist Anesthesia Class I Permit
License number
137657-9921
Date granted
01/01/1910
Date expires
10/08/2005
Class
Dental - Dentist Anesthesia Class I Permit
Status
Deceased
Address
SALT LAKE CITY, UT 841074954
utahlicensing.org
ID 29715919
LAST UPDATED 2024-03-24 05:37:28 UTC

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