Utah
Division of Occupational and Professional Licensing
ORIN BRENT BLACK
Dental - Dentist Anesthesia Class Ii Permit
License number
131327-9922
Date granted
11/01/1989
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
COTTONWOOD HEIGHTS, UT 84121
utahlicensing.org
ID 29718957
LAST UPDATED 2024-02-28 16:47:20 UTC
LAST UPDATED 2024-02-28 16:47:20 UTC
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