License holder summary

ROGER TAYLOR RUSSELL is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for ROGER TAYLOR RUSSELL is SALT LAKE CITY, UT 841213771. This licensed professional license is current. The license was granted 06/29/1970 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

ROGER TAYLOR RUSSELL
Dental - Dentist Anesthesia Class I Permit
License number
132939-9921
Date granted
06/29/1970
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SALT LAKE CITY, UT 841213771
utahlicensing.org
ID 29716883
LAST UPDATED 2024-02-14 17:49:56 UTC

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