Utah
Division of Occupational and Professional Licensing
STACEY BANK
Physician - Physician & Surgeon
License number
5391997-1205
Date granted
09/24/2003
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84124
utahlicensing.org
ID 29934883
LAST UPDATED 2024-05-03 02:07:23 UTC
LAST UPDATED 2024-05-03 02:07:23 UTC
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