License holder summary

GANNON BRANDT RANDOLPH is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for GANNON BRANDT RANDOLPH is ROGERS, AR 72756. This licensed professional license is not current. The license was granted 10/12/2001 and expired on 01/31/2010.

Utah

Division of Occupational and Professional Licensing

GANNON BRANDT RANDOLPH
Physician - Physician & Surgeon
License number
4983685-1205
Date granted
10/12/2001
Date expires
01/31/2010
Class
Physician - Physician & Surgeon
Status
Expired
Address
ROGERS, AR 72756
utahlicensing.org
ID 29923897
LAST UPDATED 2024-04-18 03:59:27 UTC

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