Utah
Division of Occupational and Professional Licensing
BRENT LEROY BROCKSOME
Health Facility Administrator - Health Facility Administrator
License number
118762-1501
Date granted
01/01/1911
Date expires
05/31/1997
Class
Health Facility Administrator - Health Facility Administrator
Status
Administrative Hold
Address
BOISE, ID 83709
utahlicensing.org
ID 29789936
LAST UPDATED 2024-03-17 09:45:31 UTC
LAST UPDATED 2024-03-17 09:45:31 UTC
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