Utah
Division of Occupational and Professional Licensing
GRANT ANDREAS FAIRBANKS
Physician - Physician & Surgeon
License number
274490-1205
Date granted
05/23/1994
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84124
utahlicensing.org
ID 29924408
LAST UPDATED 2024-03-20 00:07:51 UTC
LAST UPDATED 2024-03-20 00:07:51 UTC
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