License holder summary

GREGORY TODD FOUNTAIN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for GREGORY TODD FOUNTAIN is CUMMING, GA 30041. This licensed professional license is current. The license was granted 05/12/2014 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

GREGORY TODD FOUNTAIN
Physician - Physician & Surgeon
License number
9033392-1205
Date granted
05/12/2014
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
CUMMING, GA 30041
utahlicensing.org
ID 29924543
LAST UPDATED 2024-05-02 19:53:23 UTC

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