License holder summary

EMILY LARA PETERSEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for EMILY LARA PETERSEN is SALT LAKE CITY, UT 841063673. This licensed professional license is not current. The license was granted 11/16/2005 and expired on 01/31/2012.

Utah

Division of Occupational and Professional Licensing

EMILY LARA PETERSEN
Physician - Physician & Surgeon
License number
6027146-1205
Date granted
11/16/2005
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 841063673
utahlicensing.org
ID 29923366
LAST UPDATED 2026-06-05 17:57:34 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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