License holder summary

DAVID JEFFREY CROCKETT is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for DAVID JEFFREY CROCKETT is SALT LAKE CITY, UT 84106. This licensed professional license is not current. The license was granted 11/16/2009 and expired on 01/31/2014.

Utah

Division of Occupational and Professional Licensing

DAVID JEFFREY CROCKETT
Physician - Physician & Surgeon
License number
7471566-1205
Date granted
11/16/2009
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84106
utahlicensing.org
ID 29922081
LAST UPDATED 2024-03-18 04:37:33 UTC

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