Utah
Division of Occupational and Professional Licensing
M WADE RALLISON
Dental - Dentist Anesthesia Class Iii Permit
License number
5118697-9923
Date granted
05/22/2002
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Active
Address
WASHINGTON TERRACE, UT 844056748
utahlicensing.org
ID 29719829
LAST UPDATED 2024-04-17 08:47:45 UTC
LAST UPDATED 2024-04-17 08:47:45 UTC
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