License holder summary

THOMAS RUSSELL VAN DYKE is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for THOMAS RUSSELL VAN DYKE is FARR WEST, UT 84404. This licensed professional license is not current. The license was granted 06/26/1968 and expired on 05/31/2012.

Utah

Division of Occupational and Professional Licensing

THOMAS RUSSELL VAN DYKE
Dental - Dentist Anesthesia Class I Permit
License number
133113-9921
Date granted
06/26/1968
Date expires
05/31/2012
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
FARR WEST, UT 84404
utahlicensing.org
ID 29717127
LAST UPDATED 2024-02-27 21:14:13 UTC

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