Jennifer Van Wagoner
Dentist in Provo, UT

License number
Utah 7152094-8903
Issued Date
Jan 12, 2009
Expiration Date
May 31, 2010
Category
Dental
Type
Dentist Controlled Substance (Schedule 2-5)
Address
Address
Provo, UT
Education
UNIVERSITY OF NEVADA LAS VEGAS (UNLV)
LicenseFiles verified this license of Dec 8, 2016 at the Utah Division of Occupational and Professional Licensing.

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