M WADE RALLISON

Dental - Dentist Anesthesia Class Iii Permit

Utah  5118697-9923   Active

This Utah license is held by M WADE RALLISON. The license is currently active. It was granted on 05/22/2002 and expired on 05/31/2016

LICENSE DETAILS

  • License Number: 5118697-9923
  • Category: DENTIST - ANESTHESIA CLASS III PERMIT
  • Status: Active
  • Date Granted: 05/22/2002 (almost 22 years ago)
  • Expiry Date: 05/31/2016 (almost 8 years ago)

LOCATIONS

A Address

WASHINGTON TERRACE, UT 844056748