JAY R BLAKE
Dental - Dentist Controlled Substance
Utah 129156-8903 Expired
This Utah license was held by JAY R BLAKE. The license is no longer active. It was granted on 11/20/1982 and expired on 05/31/2010
LICENSE DETAILS
- License Number: 129156-8903
- Category: DENTIST CONTROLLED SUBSTANCE
- Status: Expired
- Date Granted: 11/20/1982 (over 42 years ago)
- Expiry Date: 05/31/2010 (about 15 years ago)
LOCATIONS
A Address
ST GEORGE, UT 84770