Utah
Division of Occupational and Professional Licensing
MICHAEL LEE VAN LEEUWEN
Dental - Dentist Anesthesia Class Ii Permit
License number
138074-9922
Date granted
07/13/1977
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29718883
LAST UPDATED 2024-03-31 20:47:54 UTC
LAST UPDATED 2024-03-31 20:47:54 UTC
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