Utah
Division of Occupational and Professional Licensing
SHANE L PHILLIPS
Dental - Dentist Anesthesia Class Ii Permit
License number
342925-9922
Date granted
07/14/1997
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29719312
LAST UPDATED 2024-02-09 01:49:28 UTC
LAST UPDATED 2024-02-09 01:49:28 UTC
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