Michael Lee Van Leeuwen
Dentist in Salt Lake City, UT

License number
Utah 138074-8903
Issued Date
Jul 20, 1978
Expiration Date
May 31, 2018
Category
Dental
Type
Dentist Controlled Substance (Schedule 2-5)
Address
Address
Salt Lake City, UT
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Michael Van
1310 Hillsboro Dr, Layton, UT 84040
Michael Van, age 52
11891 S Mother Lode Ct, Herriman, UT 84096
(801) 446-1115
Michael W Van
11768 1300 W, Riverton, UT 84065

Dentist licenses in Utah