BRENT D BLACK
Physician - Physician/Surgeon Cs
Utah 170138-8905 Expired
This Utah license was held by BRENT D BLACK. The license is no longer active. It was granted on 07/15/1983 and expired on 01/31/2014
LICENSE DETAILS
- License Number: 170138-8905
- Category: PHYSICIAN/SURGEON CS
- Status: Expired
- Date Granted: 07/15/1983 (almost 42 years ago)
- Expiry Date: 01/31/2014 (over 11 years ago)
LOCATIONS
A Address
STOCKTON, UT 84071