Utah
Division of Occupational and Professional Licensing
WELLS DAVID BROCKBANK
Dental - Dentist Anesthesia Class Ii Permit
License number
9073643-9922
Date granted
06/18/2014
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SPANISH FORK, UT 84660
utahlicensing.org
ID 29719555
LAST UPDATED 2024-05-12 19:49:24 UTC
LAST UPDATED 2024-05-12 19:49:24 UTC
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