Utah
Division of Occupational and Professional Licensing
JERRY L SHAW
Dental - Dentist Anesthesia Class I Permit
License number
132357-9921
Date granted
08/18/1969
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
FARR WEST, UT 84404
utahlicensing.org
ID 29715969
LAST UPDATED 2026-05-21 12:32:36 UTC
LAST UPDATED 2026-05-21 12:32:36 UTC
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