Utah
Division of Occupational and Professional Licensing
MARK C FULLMER
Dental - Dentist Anesthesia Class I Permit
License number
143367-9921
Date granted
08/18/1986
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SPRINGVILLE, UT 84663
utahlicensing.org
ID 29716364
LAST UPDATED 2026-04-04 09:07:39 UTC
LAST UPDATED 2026-04-04 09:07:39 UTC
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