Wallace B Brown
Dentist in Salt Lake City, UT

License number
Utah 133933-8903
Issued Date
Apr 2, 1973
Expiration Date
May 31, 2004
Category
Dental
Type
Dentist Controlled Substance (Schedule 2-5)
Address
Address
Salt Lake City, UT
Education
UNIVERSITY OF WASHINGTON HEALTH SCIENCES SCHOOL OF
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Organization information

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WALLACE B. BROWN D.D.S. P.C. A PROFESSIONAL CORPORATION

1955 S 1300 E #6, Salt Lake City, UT 84105

Status:
Inactive
Registration:
Apr 22, 1976
State ID:
663657-0144
Business type:
Corporation - Professional
Agent:
Wallace B. Brown,1955 S 1300 E #6, Salt Lake City, UT 84105 (Physical)

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