License holder summary

BRENT L BLACKBURN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for BRENT L BLACKBURN is OGDEN, UT 844057038. This licensed professional license is not current. The license was granted 03/01/1996 and expired on 04/30/2000.

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 2024-03-17 18:07:40 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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