Utah
Division of Occupational and Professional Licensing
WAYNE RICHARD CHISHOLM
Dental - Dentist Anesthesia Class I Permit
License number
134634-9921
Date granted
07/25/1972
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
MONROE, UT 84754
utahlicensing.org
ID 29717228
LAST UPDATED 2024-03-24 15:05:30 UTC
LAST UPDATED 2024-03-24 15:05:30 UTC
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