Utah
Division of Occupational and Professional Licensing
ETHAN BRANAM COLLIVER
Osteopathic Physician - Osteopathic Physician & Surgeon
License number
6049218-1204
Date granted
12/09/2005
Date expires
05/31/2010
Class
Osteopathic Physician - Osteopathic Physician & Surgeon
Status
Expired
Address
BLACKSBURG, VA 240601812
utahlicensing.org
ID 29877456
LAST UPDATED 2024-02-29 02:30:48 UTC
LAST UPDATED 2024-02-29 02:30:48 UTC
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