Utah
Division of Occupational and Professional Licensing
ROMNEY RICHARD BLACK
Dental - Dentist Anesthesia Class Ii Permit
License number
5132937-9922
Date granted
06/06/2002
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 84123
utahlicensing.org
ID 29719194
LAST UPDATED 2024-04-14 18:25:03 UTC
LAST UPDATED 2024-04-14 18:25:03 UTC
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