License holder summary

SUSANNA JACOBY is a Dental - Dental Hygienist licensed to practice in Utah. The address on file for SUSANNA JACOBY is PROVO, UT 84604. This licensed professional license is not current. The license was granted 02/06/2012 and expired on 05/31/2014.

Utah

Division of Occupational and Professional Licensing

SUSANNA JACOBY
Dental - Dental Hygienist
License number
8217903-0701
Date granted
02/06/2012
Date expires
05/31/2014
Class
Dental - Dental Hygienist
Status
Superceded
Address
PROVO, UT 84604
utahlicensing.org
ID 29711623
LAST UPDATED 2024-05-01 23:22:29 UTC

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