Utah
Division of Occupational and Professional Licensing
JENNIFER VAN WAGONER
Dental - Dentist Anesthesia Class Ii Permit
License number
7152094-9922
Date granted
01/12/2009
Date expires
05/31/2010
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
PROVO, UT 84604
utahlicensing.org
ID 29718370
LAST UPDATED 2024-03-05 18:43:56 UTC
LAST UPDATED 2024-03-05 18:43:56 UTC
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