Utah
Division of Occupational and Professional Licensing
DEWAYNE CHARLES LAZENBY
Physician - Physician & Surgeon
License number
5887394-1205
Date granted
05/12/2005
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
APO, AE 09603
utahlicensing.org
ID 29922608
LAST UPDATED 2024-04-21 14:40:18 UTC
LAST UPDATED 2024-04-21 14:40:18 UTC
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