Utah
Division of Occupational and Professional Licensing
BENJAMIN BAINES MIZE
Physician - Physician & Surgeon
License number
7771334-1205
Date granted
11/24/2010
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
BROOKLYN, NY 112383891
utahlicensing.org
ID 29919677
LAST UPDATED 2024-03-26 13:59:23 UTC
LAST UPDATED 2024-03-26 13:59:23 UTC
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