Utah
Division of Occupational and Professional Licensing
RUSSELL DEMETRIUS TAYLOR
Dental - Dentist Anesthesia Class I Permit
License number
8123660-9921
Date granted
10/17/2011
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
FAYETTEVILLE, NC 28306
utahlicensing.org
ID 29716916
LAST UPDATED 2026-04-11 10:22:41 UTC
LAST UPDATED 2026-04-11 10:22:41 UTC
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