License holder summary

JACK HOUGEN PETAJAN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for JACK HOUGEN PETAJAN is SALT LAKE CITY, UT 84132. This licensed professional license is not current. The license was granted 08/26/1969 and expired on 06/22/2005.

Utah

Division of Occupational and Professional Licensing

JACK HOUGEN PETAJAN
Physician - Physician & Surgeon
License number
150609-1205
Date granted
08/26/1969
Date expires
06/22/2005
Class
Physician - Physician & Surgeon
Status
Deceased
Address
SALT LAKE CITY, UT 84132
utahlicensing.org
ID 29925181
LAST UPDATED 2024-04-08 07:32:24 UTC

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