BRENT LEROY BROCKSOME
Health Facility Administrator - Health Facility Administrator
Utah 118762-1501 Administrative Hold
This Utah license was held by BRENT LEROY BROCKSOME. The license is no longer active. It was granted on 01/01/1911 and expired on 05/31/1997
LICENSE DETAILS
- License Number: 118762-1501
- Category: HEALTH FACILITY ADMINISTRATOR
- Status: Administrative Hold
- Date Granted: 01/01/1911 (over 114 years ago)
- Expiry Date: 05/31/1997 (almost 28 years ago)
LOCATIONS
A Address
BOISE, ID 83709