Utah
Division of Occupational and Professional Licensing
JACK DAVIDSON WAHLEN
Physician - Physician & Surgeon
License number
163905-1205
Date granted
06/07/1979
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
OGDEN, UT 844056915
utahlicensing.org
ID 29925174
LAST UPDATED 2024-03-03 21:03:11 UTC
LAST UPDATED 2024-03-03 21:03:11 UTC
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