BRENT D HANSEN
Dental - Dentist Controlled Substance
Utah 131379-8903 Surrendered
This Utah license was held by BRENT D HANSEN. The license is no longer active. It was granted on 12/21/1992 and expired on 11/20/2012
LICENSE DETAILS
- License Number: 131379-8903
- Category: DENTIST CONTROLLED SUBSTANCE
- Status: Surrendered
- Date Granted: 12/21/1992 (over 32 years ago)
- Expiry Date: 11/20/2012 (over 12 years ago)
LOCATIONS
A Address
SPANISH FORK, UT 84660