Utah
Division of Occupational and Professional Licensing
SHERWIN J BLACK
Dental - Dentist Anesthesia Class I Permit
License number
131278-9921
Date granted
08/11/1966
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
WALNUT CREEK, CA 94596
utahlicensing.org
ID 29716977
LAST UPDATED 2026-05-13 01:58:08 UTC
LAST UPDATED 2026-05-13 01:58:08 UTC
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