Utah
Division of Occupational and Professional Licensing
DUSTIN WISE
Physician - Physician & Surgeon
License number
5247966-1205
Date granted
04/10/2003
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PLEASANT GROVE, UT 84062
utahlicensing.org
ID 29922984
LAST UPDATED 2024-04-03 20:20:06 UTC
LAST UPDATED 2024-04-03 20:20:06 UTC
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