License holder summary

RUSSELL LORENZO BULLEN is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for RUSSELL LORENZO BULLEN is LAS VEGAS, NV 89106. This licensed professional license is not current. The license was granted 07/05/2013 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

RUSSELL LORENZO BULLEN
Dental - Dentist Anesthesia Class I Permit
License number
8691978-9921
Date granted
07/05/2013
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Superceded
Address
LAS VEGAS, NV 89106
utahlicensing.org
ID 29716920
LAST UPDATED 2024-04-15 06:11:03 UTC

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