Utah
Division of Occupational and Professional Licensing
RICHARD F JERGENSEN
Dental - Dentist Anesthesia Class I Permit
License number
142313-9921
Date granted
08/16/1984
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
FAIRFIELD, CA 94533
utahlicensing.org
ID 29716743
LAST UPDATED 2026-03-20 11:10:53 UTC
LAST UPDATED 2026-03-20 11:10:53 UTC
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