License holder summary

LARRY THEADORE WILCKEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for LARRY THEADORE WILCKEN is VERNAL, UT 840789404. This licensed professional license is current. The license was granted 07/01/1975 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

LARRY THEADORE WILCKEN
Physician - Physician & Surgeon
License number
158064-1205
Date granted
07/01/1975
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
VERNAL, UT 840789404
utahlicensing.org
ID 29928599
LAST UPDATED 2024-03-07 03:26:43 UTC

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