Utah
Division of Occupational and Professional Licensing
JEREMY WAYNE ELLIS
Dental - Dentist Anesthesia Class Ii Permit
License number
373928-9922
Date granted
06/11/1999
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
LOGAN, UT 84321
utahlicensing.org
ID 29718390
LAST UPDATED 2024-04-21 01:31:54 UTC
LAST UPDATED 2024-04-21 01:31:54 UTC
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