License holder summary

MALLORY JANE JACOBSEN is a Dental - Dental Hygienist With Local Anesthesia licensed to practice in Utah. The address on file for MALLORY JANE JACOBSEN is ROOSEVELT, UT 840663820. This licensed professional license is current. The license was granted 05/09/2012 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

MALLORY JANE JACOBSEN
Dental - Dental Hygienist With Local Anesthesia
License number
8318709-9920
Date granted
05/09/2012
Date expires
05/31/2016
Class
Dental - Dental Hygienist With Local Anesthesia
Status
Active
Address
ROOSEVELT, UT 840663820
utahlicensing.org
ID 29713792
LAST UPDATED 2026-03-13 13:59:45 UTC

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