GRANT CLAYSON BROCKBANK
Dental - Dentist Controlled Substance
Utah 127481-8903 Surrendered
This Utah license was held by GRANT CLAYSON BROCKBANK. The license is no longer active. It was granted on 01/01/1972 and expired on 07/14/2010
LICENSE DETAILS
- License Number: 127481-8903
- Category: DENTIST CONTROLLED SUBSTANCE
- Status: Surrendered
- Date Granted: 01/01/1972 (over 52 years ago)
- Expiry Date: 07/14/2010 (almost 14 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 841082616