Utah
Division of Occupational and Professional Licensing
FREDERIC CIVISH III
Physician - Physician & Surgeon
License number
184916-1205
Date granted
06/11/1991
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
WEST JORDAN, UT 84088
utahlicensing.org
ID 29923797
LAST UPDATED 2024-05-04 04:29:03 UTC
LAST UPDATED 2024-05-04 04:29:03 UTC
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