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 The license is no longer active.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