CLYDE BROOK OLSON DDS - Dentist License in Utah | # 019014126

CLYDE BROOK OLSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014126

License Status

NOT RENEWED

Business

N

First Name

CLYDE BROOK

Last Name

OLSON

Suffix

DDS

Business Name

CLYDE BROOK OLSON DDS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1994

State

UT

Ever Disciplined

N

LastModifiedDate

10/12/2005