Utah
Division of Occupational and Professional Licensing
JEREMY ELMER ARCHIBALD
Dental - Dentist Anesthesia Class Ii Permit
License number
5957813-9922
Date granted
08/02/2005
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
GRESHAM, OR 97030
utahlicensing.org
ID 29718378
LAST UPDATED 2026-03-27 22:19:22 UTC
LAST UPDATED 2026-03-27 22:19:22 UTC
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