Randy Reid Black
Dentist in Salt Lake City, UT

License number
Utah 136075-8903
Issued Date
Jan 1, 1910
Expiration Date
Oct 4, 2009
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.

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