Utah
Division of Occupational and Professional Licensing
ROGER BLAKE NIELSEN
Dental - Dentist Anesthesia Class Ii Permit
License number
144898-9922
Date granted
08/22/2000
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 841174252
utahlicensing.org
ID 29719186
LAST UPDATED 2024-04-15 17:39:50 UTC
LAST UPDATED 2024-04-15 17:39:50 UTC
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