License holder summary

KEITH ALLEN VAN TASSELL is a Dental - Dentist Anesthesia Class Iii Permit licensed to practice in Utah. The address on file for KEITH ALLEN VAN TASSELL is FORT COLLINS, CO 805289490. This licensed professional license is not current. The license was granted 09/23/2008 and expired on 05/31/2012.

Utah

Division of Occupational and Professional Licensing

KEITH ALLEN VAN TASSELL
Dental - Dentist Anesthesia Class Iii Permit
License number
7115035-9923
Date granted
09/23/2008
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Expired
Address
FORT COLLINS, CO 805289490
utahlicensing.org
ID 29719797
LAST UPDATED 2024-04-05 14:35:42 UTC

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