Utah
Division of Occupational and Professional Licensing
LIEZL TERSOL DOMINGO
Physician - Physician & Surgeon
License number
9024241-1205
Date granted
04/30/2014
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84111
utahlicensing.org
ID 29928924
LAST UPDATED 2024-05-01 22:59:00 UTC
LAST UPDATED 2024-05-01 22:59:00 UTC
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