License holder summary

KEITH JAY POULSEN is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for KEITH JAY POULSEN is SALT LAKE CITY, UT 84121. This licensed professional license is not current. The license was granted 01/05/1989 and expired on 05/31/2014.

Utah

Division of Occupational and Professional Licensing

KEITH JAY POULSEN
Dental - Dentist Anesthesia Class Ii Permit
License number
134901-9922
Date granted
01/05/1989
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29718571
LAST UPDATED 2026-05-02 21:09:09 UTC

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