License holder summary

RANDY REID BLACK is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for RANDY REID BLACK is SALT LAKE CITY, UT 84121. This licensed professional license is not current. The license was granted 01/01/1910 and expired on 10/04/2009.

Utah

Division of Occupational and Professional Licensing

RANDY REID BLACK
Dental - Dentist Anesthesia Class Ii Permit
License number
136075-9922
Date granted
01/01/1910
Date expires
10/04/2009
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Deceased
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29719044
LAST UPDATED 2024-03-18 14:18:06 UTC

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