License holder summary

THEODORE R SMALL is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for THEODORE R SMALL is BERKELEY, CA 94709. This licensed professional license is current. The license was granted 07/15/1981 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

THEODORE R SMALL
Dental - Dentist Anesthesia Class Ii Permit
License number
140487-9922
Date granted
07/15/1981
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
BERKELEY, CA 94709
utahlicensing.org
ID 29719434
LAST UPDATED 2024-02-06 08:25:05 UTC

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