License holder summary

DOUGLAS R GROSSNICKLE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for DOUGLAS R GROSSNICKLE is BOUNTIFUL, UT 84010. This licensed professional license is not current. The license was granted 06/17/1980 and expired on 12/31/1982.

Utah

Division of Occupational and Professional Licensing

DOUGLAS R GROSSNICKLE
Physician - Physician & Surgeon
License number
165229-1205
Date granted
06/17/1980
Date expires
12/31/1982
Class
Physician - Physician & Surgeon
Status
Expired
Address
BOUNTIFUL, UT 84010
utahlicensing.org
ID 29922900
LAST UPDATED 2024-05-03 07:14:14 UTC

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