License holder summary

SHELLY M COSTLEY is a Dental - Dental Hygienist With Local Anesthesia licensed to practice in Utah. The address on file for SHELLY M COSTLEY is KAYSVILLE, UT 84037. This licensed professional license is current. The license was granted 10/13/1987 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

SHELLY M COSTLEY
Dental - Dental Hygienist With Local Anesthesia
License number
115777-9920
Date granted
10/13/1987
Date expires
05/31/2016
Class
Dental - Dental Hygienist With Local Anesthesia
Status
Active
Address
KAYSVILLE, UT 84037
utahlicensing.org
ID 29714494
LAST UPDATED 2024-03-24 03:10:02 UTC

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