BLAKE N BROG
Dental - Dentist Anesthesia Class I Permit
Utah 142188-9921 Active
This Utah license is held by BLAKE N BROG. The license is currently active. It was granted on 07/19/1984 and expired on 05/31/2016
LICENSE DETAILS
- License Number: 142188-9921
- Category: DENTIST - ANESTHESIA CLASS I PERMIT
- Status: Active
- Date Granted: 07/19/1984 (almost 41 years ago)
- Expiry Date: 05/31/2016 (about 9 years ago)
LOCATIONS
A Address
BOUNTIFUL, UT 84010
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