Utah
Division of Occupational and Professional Licensing
RUSSELL WIRTHLIN FARNSWORTH
Dental - Dentist Anesthesia Class Ii Permit
License number
5667938-9922
Date granted
06/21/2004
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
HOLLADAY, UT 84124
utahlicensing.org
ID 29719225
LAST UPDATED 2024-02-22 05:13:16 UTC
LAST UPDATED 2024-02-22 05:13:16 UTC
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