RANDALL MADSEN

Dental - Dentist Anesthesia Class Ii Permit

Utah  5639652-9922   Active

This Utah license is held by RANDALL MADSEN. The license is currently active. It was granted on 05/25/2004 and expired on 05/31/2016

LICENSE DETAILS

  • License Number: 5639652-9922
  • Category: DENTIST - ANESTHESIA CLASS II PERMIT
  • Status: Active
  • Date Granted: 05/25/2004 (almost 21 years ago)
  • Expiry Date: 05/31/2016 (almost 9 years ago)

LOCATIONS

A Address

SALT LAKE CITY, UT 84121