Dentist
LICENSED DENTIST
019019155
NOT RENEWED
N
JOSE PEREZ
TAMAYO
JOSE PEREZ TAMAYO
08/06/1984
06/21/2012
09/30/2015
FARMINGTON
UT
84025
UTAH
Y
02/08/2016
1986000934
Probation
11/25/1986
12/10/1988