Utah
Division of Occupational and Professional Licensing
EVAN G BLACK
Physician - Physician & Surgeon
License number
187597-1205
Date granted
07/07/1992
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 841241350
utahlicensing.org
ID 29923579
LAST UPDATED 2024-04-14 06:18:42 UTC
LAST UPDATED 2024-04-14 06:18:42 UTC
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