Utah
Division of Occupational and Professional Licensing
SHANE K POWELL
Physician - Physician & Surgeon
License number
308396-1205
Date granted
12/11/1995
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
ROOSEVELT, UT 840662324
utahlicensing.org
ID 29934605
LAST UPDATED 2024-03-16 23:53:48 UTC
LAST UPDATED 2024-03-16 23:53:48 UTC
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