LARRY JAY BROADBENT
Dental - Dentist Anesthesia Class Ii Permit
Utah 136046-9922 Deceased
This Utah license was held by LARRY JAY BROADBENT. The license is no longer active. It was granted on 01/01/1910 and expired on 05/31/2006
LICENSE DETAILS
- License Number: 136046-9922
- Category: DENTIST - ANESTHESIA CLASS II PERMIT
- Status: Deceased
- Date Granted: 01/01/1910 (over 115 years ago)
- Expiry Date: 05/31/2006 (almost 19 years ago)
LOCATIONS
A Address
PROVO, UT 84604