Utah
Division of Occupational and Professional Licensing
DOUGLAS UGENE BLANK
Physician - Physician & Surgeon
License number
187536-1205
Date granted
07/07/1992
Date expires
12/31/1994
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84120
utahlicensing.org
ID 29922928
LAST UPDATED 2024-04-05 21:43:41 UTC
LAST UPDATED 2024-04-05 21:43:41 UTC
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