License holder summary

KEITH DANIEL JACKSON is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for KEITH DANIEL JACKSON is FAYETTEVILLE, NC 28303. This licensed professional license is current. The license was granted 07/10/2013 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

KEITH DANIEL JACKSON
Dental - Dentist Anesthesia Class I Permit
License number
8702632-9921
Date granted
07/10/2013
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
FAYETTEVILLE, NC 28303
utahlicensing.org
ID 29716148
LAST UPDATED 2026-05-25 06:32:45 UTC

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