Utah
Division of Occupational and Professional Licensing
IDA MARIE BERGSTROM
Physician - Physician & Surgeon
License number
5747063-1205
Date granted
11/12/2004
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
WASHINGTON, DC 20007
utahlicensing.org
ID 29925030
LAST UPDATED 2024-05-01 17:36:47 UTC
LAST UPDATED 2024-05-01 17:36:47 UTC
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