License holder summary

KELLY LAVON WEAVER is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for KELLY LAVON WEAVER is SHELLEY, ID 83274. This licensed professional license is current. The license was granted 06/06/2014 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

KELLY LAVON WEAVER
Dental - Dentist Anesthesia Class I Permit
License number
9053198-9921
Date granted
06/06/2014
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SHELLEY, ID 83274
utahlicensing.org
ID 29716160
LAST UPDATED 2026-04-20 18:08:01 UTC

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