Utah
Division of Occupational and Professional Licensing
HAROLD G BROCKBANK
Dental - Dentist Anesthesia Class Ii Permit
License number
143218-9922
Date granted
06/18/1986
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
MURRAY, UT 84107
utahlicensing.org
ID 29718161
LAST UPDATED 2026-06-20 09:39:14 UTC
LAST UPDATED 2026-06-20 09:39:14 UTC
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