Utah
Division of Occupational and Professional Licensing
PAUL M BROADWATER
Dental - Dentist Anesthesia Class Ii Permit
License number
142429-9922
Date granted
01/10/1985
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 84117
utahlicensing.org
ID 29718992
LAST UPDATED 2024-05-04 07:45:45 UTC
LAST UPDATED 2024-05-04 07:45:45 UTC
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