License holder summary

WAYNE ADDISON PROVOST is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for WAYNE ADDISON PROVOST is SALT LAKE CITY, UT 841090151. This licensed professional license is not current. The license was granted 01/01/1910 and expired on 05/31/1996.

Utah

Division of Occupational and Professional Licensing

WAYNE ADDISON PROVOST
Dental - Dentist Anesthesia Class Ii Permit
License number
132912-9922
Date granted
01/01/1910
Date expires
05/31/1996
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Expired
Address
SALT LAKE CITY, UT 841090151
utahlicensing.org
ID 29719549
LAST UPDATED 2026-06-24 07:57:51 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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