Utah
Division of Occupational and Professional Licensing
JEROLD DALE LUNDGREN
Dental - Dentist Anesthesia Class I Permit
License number
131090-9921
Date granted
08/31/1964
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
CEDAR HILLS, UT 84062
utahlicensing.org
ID 29715966
LAST UPDATED 2026-05-25 02:50:52 UTC
LAST UPDATED 2026-05-25 02:50:52 UTC
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