Utah
Division of Occupational and Professional Licensing
LANCE DON CLARK
Dental - Dentist Anesthesia Class Ii Permit
License number
7381579-9922
Date granted
06/22/2009
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
ALBUQUERQUE, NM 87122
utahlicensing.org
ID 29718679
LAST UPDATED 2024-02-28 10:34:51 UTC
LAST UPDATED 2024-02-28 10:34:51 UTC
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