License holder summary

LIS D GREEN is a Dental - Dental Hygienist With Local Anesthesia licensed to practice in Utah. The address on file for LIS D GREEN is SANDY, UT 84094. This licensed professional license is current. The license was granted 11/01/1995 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

LIS D GREEN
Dental - Dental Hygienist With Local Anesthesia
License number
108550-9920
Date granted
11/01/1995
Date expires
05/31/2016
Class
Dental - Dental Hygienist With Local Anesthesia
Status
Active
Address
SANDY, UT 84094
utahlicensing.org
ID 29713689
LAST UPDATED 2024-02-14 21:03:31 UTC

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