CLYDE BROOK OLSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014126

License Status

NOT RENEWED

Business

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

City

ROY

State

Zip

84067

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005