Utah
Division of Occupational and Professional Licensing
PRESTON CHAD ELLIS
Dental - Dentist Anesthesia Class Iii Permit
License number
270828-9923
Date granted
12/08/2004
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Iii Permit
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29719882
LAST UPDATED 2024-04-05 22:31:36 UTC
LAST UPDATED 2024-04-05 22:31:36 UTC
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