LICENSE SUBCATEGORY
DENTIST - ANESTHESIA CLASS I...
5
DENTIST - ANESTHESIA CLASS II...
1
DENTIST CONTROLLED SUBSTANCE
STATUSES
Active
16
Deceased
9
Expired
Surrendered
2
Superceded
Transferred
Unknown at Conversion
LOCALITIES
Salt Lake City
4
Logan
Surprise
Grants Pass
JOSEPH MELVIN HANSEN
Utah (Logan) - Dental - Dentist Anesthesia Class I Permit Surrendered