BLAKE ELDEN WAYMAN

Dental - Dentist Anesthesia Class I Permit

Utah  136175-9921   Active

This Utah license is held by BLAKE ELDEN WAYMAN. The license is currently active. It was granted on 07/15/1974 and expired on 05/31/2016

LICENSE DETAILS

  • License Number: 136175-9921
  • Category: DENTIST - ANESTHESIA CLASS I PERMIT
  • Status: Active
  • Date Granted: 07/15/1974 (almost 51 years ago)
  • Expiry Date: 05/31/2016 (about 9 years ago)

LOCATIONS

A Address

EL PASO, UT 799324305