BRENT L BLACKBURN
Physician - Physician & Surgeon
Utah 318196-1205 Suspended
This Utah license was held by BRENT L BLACKBURN. The license is no longer active. It was granted on 03/01/1996 and expired on 04/30/2000
LICENSE DETAILS
- License Number: 318196-1205
- Category: PHYSICIAN & SURGEON
- Status: Suspended
- Date Granted: 03/01/1996 (about 28 years ago)
- Expiry Date: 04/30/2000 (almost 24 years ago)
LOCATIONS
A Address
OGDEN, UT 844057038