License holder summary

SAMANTHA L BLAKE is a Dental - Dental Hygienist With Local Anesthesia licensed to practice in Utah. The address on file for SAMANTHA L BLAKE is HURRICANE, UT 84737. This licensed professional license is current. The license was granted 06/13/2006 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

SAMANTHA L BLAKE
Dental - Dental Hygienist With Local Anesthesia
License number
6239050-9920
Date granted
06/13/2006
Date expires
05/31/2016
Class
Dental - Dental Hygienist With Local Anesthesia
Status
Active
Address
HURRICANE, UT 84737
utahlicensing.org
ID 29714356
LAST UPDATED 2024-05-24 12:16:55 UTC

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