License holder summary

BRENT D BLACK is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for BRENT D BLACK is STOCKTON, UT 84071. This licensed professional license is not current. The license was granted 07/15/1983 and expired on 01/31/2014.

Utah

Division of Occupational and Professional Licensing

BRENT D BLACK
Physician - Physician & Surgeon
License number
170138-1205
Date granted
07/15/1983
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
STOCKTON, UT 84071
utahlicensing.org
ID 29920012
LAST UPDATED 2024-03-04 01:50:34 UTC

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