BRENT L BLACKBURN
Physician - Physician/Surgeon Cs
Utah 318196-8905 Surrendered
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 The license is no longer active.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: 318196-8905
- Category: PHYSICIAN/SURGEON CS
- Status: Surrendered
- Date Granted: 03/01/1996 (over 30 years ago)
- Expiry Date: 04/30/2000 (over 26 years ago)
LOCATIONS
A Address
OGDEN, UT 844057038