Utah
Division of Occupational and Professional Licensing
M BLANE JACKSON
Dental - Dentist Anesthesia Class Ii Permit
License number
6605138-9922
Date granted
08/14/2007
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
HELPER, UT 84526
utahlicensing.org
ID 29718739
LAST UPDATED 2024-03-02 18:38:57 UTC
LAST UPDATED 2024-03-02 18:38:57 UTC
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