License holder summary

CARL LEWIS BROCKBANK is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for CARL LEWIS BROCKBANK is SALT LAKE CITY, UT 84111. This licensed professional license is not current. The license was granted 12/06/1948 and expired on 12/31/1990.

Utah

Division of Occupational and Professional Licensing

CARL LEWIS BROCKBANK
Physician - Physician & Surgeon
License number
137340-1205
Date granted
12/06/1948
Date expires
12/31/1990
Class
Physician - Physician & Surgeon
Status
Deceased
Address
SALT LAKE CITY, UT 84111
utahlicensing.org
ID 29920503
LAST UPDATED 2024-04-01 04:55:46 UTC

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