KEITH LAZELLE STUCKI
Dental - Dentist Anesthesia Class I Permit
Utah 316162-9921 Expired
This Utah license was held by KEITH LAZELLE STUCKI. The license is no longer active. It was granted on 01/04/1996 and expired on 05/31/2000
LICENSE DETAILS
- License Number: 316162-9921
- Category: DENTIST - ANESTHESIA CLASS I PERMIT
- Status: Expired
- Date Granted: 01/04/1996 (over 29 years ago)
- Expiry Date: 05/31/2000 (about 25 years ago)
LOCATIONS
A Address
FORT IRWIN, CA 92310