Utah
Division of Occupational and Professional Licensing
RUSSELL LYNN BOULTON
Dental - Dentist Anesthesia Class Ii Permit
License number
131570-9922
Date granted
06/14/1988
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SALT LAKE CITY, UT 84117
utahlicensing.org
ID 29719222
LAST UPDATED 2024-03-13 12:22:46 UTC
LAST UPDATED 2024-03-13 12:22:46 UTC
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