License holder summary

KIM E SAMUELSON is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for KIM E SAMUELSON is CENTERVILLE, UT 84014. This licensed professional license is current. The license was granted 07/11/1977 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

KIM E SAMUELSON
Dental - Dentist Anesthesia Class Ii Permit
License number
138007-9922
Date granted
07/11/1977
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
CENTERVILLE, UT 84014
utahlicensing.org
ID 29718646
LAST UPDATED 2024-03-24 11:29:14 UTC

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