Utah
Division of Occupational and Professional Licensing
AUDREY MICHELLE JANTZEN
Physician - Physician & Surgeon
License number
6654219-1205
Date granted
08/15/2007
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
PROVO, UT 84604
utahlicensing.org
ID 29919516
LAST UPDATED 2024-04-02 01:00:03 UTC
LAST UPDATED 2024-04-02 01:00:03 UTC
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