License holder summary

TODD DOUGLAS CHURCH is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for TODD DOUGLAS CHURCH is LANGLEY AFB, VA 23665. This licensed professional license is current. The license was granted 06/01/2011 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

TODD DOUGLAS CHURCH
Dental - Dentist Anesthesia Class Ii Permit
License number
8010086-9922
Date granted
06/01/2011
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
LANGLEY AFB, VA 23665
utahlicensing.org
ID 29719469
LAST UPDATED 2026-06-14 07:26:35 UTC

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