License holder summary

RUSSELL THOMAS PETERSON is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for RUSSELL THOMAS PETERSON is SAINT CLOUD, MN 56301. This licensed professional license is current. The license was granted 10/15/2014 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

RUSSELL THOMAS PETERSON
Dental - Dentist Anesthesia Class I Permit
License number
9183647-9921
Date granted
10/15/2014
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SAINT CLOUD, MN 56301
utahlicensing.org
ID 29716923
LAST UPDATED 2024-04-07 09:03:56 UTC

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