KELLY A MANGRUM
Dental - Dentist Controlled Substance
Utah 140366-8903 Revoked
This Utah license was held by KELLY A MANGRUM. The license is no longer active. It was granted on 07/06/1981 and expired on 12/31/1990
LICENSE DETAILS
- License Number: 140366-8903
- Category: DENTIST CONTROLLED SUBSTANCE
- Status: Revoked
- Date Granted: 07/06/1981 (almost 44 years ago)
- Expiry Date: 12/31/1990 (over 34 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84121