Utah
Division of Occupational and Professional Licensing
KELLY A FADDIS
Dental - Dentist Anesthesia Class Ii Permit
License number
144920-9922
Date granted
06/19/1990
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
DRAPER, UT 84020
utahlicensing.org
ID 29718578
LAST UPDATED 2024-04-25 16:56:50 UTC
LAST UPDATED 2024-04-25 16:56:50 UTC
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