Utah
Division of Occupational and Professional Licensing
LARELL C VAN DYKE
Dental - Dentist Anesthesia Class I Permit
License number
133101-9921
Date granted
07/06/1970
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
PLEASANT GROVE, UT 840621079
utahlicensing.org
ID 29716245
LAST UPDATED 2024-04-20 18:13:33 UTC
LAST UPDATED 2024-04-20 18:13:33 UTC
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