BENJAMIN LYNN RUSSELL
Dental - Dentist Controlled Substance
Utah 5729440-8903 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: 5729440-8903
- Category: DENTIST CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 09/20/2004 (over 20 years ago)
- Expiry Date: 05/31/2016 (almost 9 years ago)
LOCATIONS
A Address
PARK CITY, UT 84098
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