Utah
Division of Occupational and Professional Licensing
JAY R BLAKE
Dental - Dentist Anesthesia Class I Permit
License number
129156-9921
Date granted
08/01/1961
Date expires
05/31/2010
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
ST GEORGE, UT 84770
utahlicensing.org
ID 29715925
LAST UPDATED 2024-04-29 06:53:27 UTC
LAST UPDATED 2024-04-29 06:53:27 UTC
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