GRANT CLAYSON BROCKBANK

Dental - Dentist Anesthesia Class I Permit

Utah  127481-9921   Expired

This Utah license was held by GRANT CLAYSON BROCKBANK. The license is no longer active. It was granted on 07/02/1959 and expired on 05/31/2014

LICENSE DETAILS

  • License Number: 127481-9921
  • Category: DENTIST - ANESTHESIA CLASS I PERMIT
  • Status: Expired
  • Date Granted: 07/02/1959 (almost 66 years ago)
  • Expiry Date: 05/31/2014 (almost 11 years ago)

LOCATIONS

A Address

SALT LAKE CITY, UT 841082616