Utah
Division of Occupational and Professional Licensing
MICHAEL WILLIAM BROADBENT
Dental - Dentist Anesthesia Class Iv Permit
License number
6511661-9924
Date granted
04/20/2007
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iv Permit
Status
Active
Address
LAYTON, UT 84041
utahlicensing.org
ID 29720064
LAST UPDATED 2024-04-03 21:33:03 UTC
LAST UPDATED 2024-04-03 21:33:03 UTC
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