Utah
Division of Occupational and Professional Licensing
JOHN M COSTLEY
Dental - Dentist Anesthesia Class Iii Permit
License number
275085-9923
Date granted
12/02/1994
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Expired
Address
KAYSVILLE, UT 84037
utahlicensing.org
ID 29719772
LAST UPDATED 2024-01-20 21:12:15 UTC
LAST UPDATED 2024-01-20 21:12:15 UTC
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