License holder summary

ALEXIS N DE GASTON is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for ALEXIS N DE GASTON is MORENO VALLEY, CA 925572916. This licensed professional license is not current. The license was granted 09/18/1979 and expired on 12/27/2002.

Utah

Division of Occupational and Professional Licensing

ALEXIS N DE GASTON
Physician - Physician & Surgeon
License number
164460-1205
Date granted
09/18/1979
Date expires
12/27/2002
Class
Physician - Physician & Surgeon
Status
Revoked
Address
MORENO VALLEY, CA 925572916
utahlicensing.org
ID 29918739
LAST UPDATED 2024-04-22 18:12:57 UTC

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