License holder summary

KEITH LAZELLE STUCKI is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for KEITH LAZELLE STUCKI is FORT IRWIN, CA 92310. This licensed professional license is not current. The license was granted 01/04/1996 and expired on 05/31/2000.

Utah

Division of Occupational and Professional Licensing

KEITH LAZELLE STUCKI
Dental - Dentist Anesthesia Class I Permit
License number
316162-9921
Date granted
01/04/1996
Date expires
05/31/2000
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
FORT IRWIN, CA 92310
utahlicensing.org
ID 29716153
LAST UPDATED 2026-05-28 08:15:45 UTC

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