BRANT WAHLEN FONNESBECK
Osteopathic Physician - Osteopathic Controlled Substance
Utah 5953772-8904 Active
This Utah license is held by BRANT WAHLEN FONNESBECK. The license is currently active. It was granted on 08/22/2005 and expired on 05/31/2016
LICENSE DETAILS
- License Number: 5953772-8904
- Category: OSTEOPATHIC CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 08/22/2005 (almost 20 years ago)
- Expiry Date: 05/31/2016 (about 9 years ago)
LOCATIONS
A Address
WELLSVILLE, UT 84339
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