License holder summary

WELLS S BROCKBANK is a Dental - Dentist Anesthesia Class Ii Permit licensed to practice in Utah. The address on file for WELLS S BROCKBANK is SPANISH FORK, UT 84660. This licensed professional license is current. The license was granted 11/19/1984 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

WELLS S BROCKBANK
Dental - Dentist Anesthesia Class Ii Permit
License number
142412-9922
Date granted
11/19/1984
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
SPANISH FORK, UT 84660
utahlicensing.org
ID 29719557
LAST UPDATED 2024-02-17 01:09:25 UTC

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