Utah
Division of Occupational and Professional Licensing
STACEY K UM
Dental - Dentist Anesthesia Class Ii Permit
License number
284570-9922
Date granted
12/16/1994
Date expires
05/31/1996
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
YAKIMA, WA 98902
utahlicensing.org
ID 29719336
LAST UPDATED 2026-03-30 01:32:05 UTC
LAST UPDATED 2026-03-30 01:32:05 UTC
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