Utah
Division of Occupational and Professional Licensing
JEFFREY PINGREE BROADBENT
Dental - Dentist Anesthesia Class Ii Permit
License number
5329002-9922
Date granted
05/24/2011
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
OGDEN, UT 84403
utahlicensing.org
ID 29718351
LAST UPDATED 2024-02-02 00:52:24 UTC
LAST UPDATED 2024-02-02 00:52:24 UTC
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