KEITH ALLEN VAN TASSELL
Dental - Dentist Anesthesia Class Iii Permit
Utah 7115035-9923 Expired
This Utah license was held by KEITH ALLEN VAN TASSELL. The license is no longer active. It was granted on 09/23/2008 and expired on 05/31/2012
LICENSE DETAILS
- License Number: 7115035-9923
- Category: DENTIST - ANESTHESIA CLASS III PERMIT
- Status: Expired
- Date Granted: 09/23/2008 (over 16 years ago)
- Expiry Date: 05/31/2012 (almost 13 years ago)
LOCATIONS
A Address
FORT COLLINS, CO 805289490