Utah
Division of Occupational and Professional Licensing
BRANT WAHLEN FONNESBECK
Osteopathic Physician - Osteopathic Physician & Surgeon
License number
5953772-1204
Date granted
08/22/2005
Date expires
05/31/2016
Class
Osteopathic Physician - Osteopathic Physician & Surgeon
Status
Active
Address
WELLSVILLE, UT 84339
utahlicensing.org
ID 29877243
LAST UPDATED 2024-04-08 22:52:31 UTC
LAST UPDATED 2024-04-08 22:52:31 UTC
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