Utah
Division of Occupational and Professional Licensing
CLARK EDMAN PETERSEN
Physician - Physician & Surgeon
License number
360950-1205
Date granted
08/19/1998
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
BOUNTIFUL, UT 840108509
utahlicensing.org
ID 29921194
LAST UPDATED 2024-04-05 16:08:33 UTC
LAST UPDATED 2024-04-05 16:08:33 UTC
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