Utah
Division of Occupational and Professional Licensing
BRENT L BLACKBURN
Physician - Physician & Surgeon
License number
318196-1205
Date granted
03/01/1996
Date expires
04/30/2000
Class
Physician - Physician & Surgeon
Status
Suspended
Address
OGDEN, UT 844057038
utahlicensing.org
ID 29920035
LAST UPDATED 2024-04-15 00:11:04 UTC
LAST UPDATED 2024-04-15 00:11:04 UTC
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