Utah
Division of Occupational and Professional Licensing
BARRY VINCENT BAST
Physician - Physician & Surgeon
License number
7497072-1205
Date granted
12/30/2009
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
MANITOWOC, WI 542211897
utahlicensing.org
ID 29919628
LAST UPDATED 2024-05-06 22:40:18 UTC
LAST UPDATED 2024-05-06 22:40:18 UTC
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