JENNIFER VAN WAGONER
Dental - Dentist Anesthesia Class Ii Permit
Utah 7152094-9922 Expired
This Utah license was held by JENNIFER VAN WAGONER. The license is no longer active. It was granted on 01/12/2009 and expired on 05/31/2010
LICENSE DETAILS
- License Number: 7152094-9922
- Category: DENTIST - ANESTHESIA CLASS II PERMIT
- Status: Expired
- Date Granted: 01/12/2009 (over 15 years ago)
- Expiry Date: 05/31/2010 (about 14 years ago)
LOCATIONS
A Address
PROVO, UT 84604