Utah
Division of Occupational and Professional Licensing
LAURIN G RACKHAM
Dental - Dentist Anesthesia Class I Permit
License number
145560-9921
Date granted
06/16/1992
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
CEDARBURG, WI 53012
utahlicensing.org
ID 29716260
LAST UPDATED 2024-03-21 22:09:53 UTC
LAST UPDATED 2024-03-21 22:09:53 UTC
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