License holder summary

JENNIFER VAN WAGONER is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for JENNIFER VAN WAGONER is PROVO, UT 84604. This licensed professional license is not current. The license was granted 01/12/2009 and expired on 05/31/2010.

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

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