Utah
Division of Occupational and Professional Licensing
BROOKE LANE HANSEN
Physician - Physician & Surgeon
License number
8153301-1205
Date granted
11/21/2011
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84103
utahlicensing.org
ID 29920244
LAST UPDATED 2024-03-18 12:41:48 UTC
LAST UPDATED 2024-03-18 12:41:48 UTC
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