License holder summary

JACOB MICHAEL POULSEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for JACOB MICHAEL POULSEN is SALEM, UT 846535517. This licensed professional license is current. The license was granted 03/18/2010 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

JACOB MICHAEL POULSEN
Physician - Physician & Surgeon
License number
7613455-1205
Date granted
03/18/2010
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALEM, UT 846535517
utahlicensing.org
ID 29925206
LAST UPDATED 2024-02-22 22:57:37 UTC

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