BENJAMIN LYNN RUSSELL

Dental - Dentist Anesthesia Class Ii Permit

Utah  5729440-9922   Active

This Utah license is held by BENJAMIN LYNN RUSSELL. The license is currently active. It was granted on 09/20/2004 and expired on 05/31/2016

LICENSE DETAILS

  • License Number: 5729440-9922
  • Category: DENTIST - ANESTHESIA CLASS II PERMIT
  • Status: Active
  • Date Granted: 09/20/2004 (over 20 years ago)
  • Expiry Date: 05/31/2016 (about 9 years ago)

LOCATIONS

A Address

MIDWAY, UT 84049