Utah
Division of Occupational and Professional Licensing
NILES WALTER HERROD
Dental - Dentist Anesthesia Class Iv Permit
License number
132167-9924
Date granted
06/26/1969
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iv Permit
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29720068
LAST UPDATED 2024-03-02 20:09:31 UTC
LAST UPDATED 2024-03-02 20:09:31 UTC
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