PHILLIP EARL BLEAK

Dental - Dentist Controlled Substance

Utah  322800-8903   Expired

This Utah license was held by PHILLIP EARL BLEAK. The license is no longer active. It was granted on 06/07/1996 and expired on 05/31/2010

LICENSE DETAILS

  • License Number: 322800-8903
  • Category: DENTIST CONTROLLED SUBSTANCE
  • Status: Expired
  • Date Granted: 06/07/1996 (almost 29 years ago)
  • Expiry Date: 05/31/2010 (almost 15 years ago)

LOCATIONS

A Address

FARMINGTON, UT 84025