Utah
Division of Occupational and Professional Licensing
RANDY CHARLES BRAITHWAITE
Dental - Dentist Anesthesia Class Ii Permit
License number
5070492-9922
Date granted
07/14/2005
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
AMERICAN FORK, UT 84003
utahlicensing.org
ID 29719041
LAST UPDATED 2024-02-27 21:24:01 UTC
LAST UPDATED 2024-02-27 21:24:01 UTC
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