License holder summary

BROOKE ELIZABETH PROVSTGAARD is a Radiology - Radiologic Technologist licensed to practice in Utah. The address on file for BROOKE ELIZABETH PROVSTGAARD is SALT LAKE CITY, UT 84106. This licensed professional license is current. The license was granted 06/19/2007 and expired on 05/31/2015.

Utah

Division of Occupational and Professional Licensing

BROOKE ELIZABETH PROVSTGAARD
Radiology - Radiologic Technologist
License number
6277147-5401
Date granted
06/19/2007
Date expires
05/31/2015
Class
Radiology - Radiologic Technologist
Status
Active
Address
SALT LAKE CITY, UT 84106
utahlicensing.org
ID 29978250
LAST UPDATED 2024-05-01 04:03:14 UTC

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