Max Allen Blackham
Dentist in Pleasant Grove, UT

License number
Utah 128987-8903
Issued Date
Jan 1, 1910
Expiration Date
May 31, 2004
Category
Dental
Type
Dentist Controlled Substance (Schedule 2-5)
Address
Address
Pleasant Grove, UT
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Dentist licenses in Utah