License holder summary

DIETRICH GRAVENSTEIN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for DIETRICH GRAVENSTEIN is SALT LAKE CITY, UT 84121. This licensed professional license is not current. The license was granted 12/14/1993 and expired on 01/31/1996.

Utah

Division of Occupational and Professional Licensing

DIETRICH GRAVENSTEIN
Physician - Physician & Surgeon
License number
270167-1205
Date granted
12/14/1993
Date expires
01/31/1996
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29922639
LAST UPDATED 2026-05-11 03:11:17 UTC

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