Utah
Division of Occupational and Professional Licensing
JEFFREY WAYNE MIX
Dental - Dentist Anesthesia Class I Permit
License number
134667-9921
Date granted
08/15/1972
Date expires
12/31/1992
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
GILBERT, AZ 85234
utahlicensing.org
ID 29715958
LAST UPDATED 2024-02-08 23:44:46 UTC
LAST UPDATED 2024-02-08 23:44:46 UTC
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