License holder summary

LARRY WALLACE MIZELLE is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for LARRY WALLACE MIZELLE is TEMPERANCE, MI 48182. This licensed professional license is not current. The license was granted 11/23/2007 and expired on 05/31/2014.

Utah

Division of Occupational and Professional Licensing

LARRY WALLACE MIZELLE
Dental - Dentist Anesthesia Class I Permit
License number
265303-9921
Date granted
11/23/2007
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
TEMPERANCE, MI 48182
utahlicensing.org
ID 29716256
LAST UPDATED 2026-04-20 17:36:57 UTC

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