License holder summary

ALEXANDRA A FORTNER is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for ALEXANDRA A FORTNER is SALT LAKE CITY, UT 84103. This licensed professional license is not current. The license was granted 05/30/1984 and expired on 12/31/1990.

Utah

Division of Occupational and Professional Licensing

ALEXANDRA A FORTNER
Physician - Physician & Surgeon
License number
171654-1205
Date granted
05/30/1984
Date expires
12/31/1990
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84103
utahlicensing.org
ID 29918726
LAST UPDATED 2024-03-07 09:20:18 UTC

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