License holder summary

JACQUELINE B PETRAVAGE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for JACQUELINE B PETRAVAGE is SALT LAKE CITY, UT 84148. This licensed professional license is not current. The license was granted 08/11/1981 and expired on 01/31/2014.

Utah

Division of Occupational and Professional Licensing

JACQUELINE B PETRAVAGE
Physician - Physician & Surgeon
License number
166416-1205
Date granted
08/11/1981
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84148
utahlicensing.org
ID 29925214
LAST UPDATED 2026-04-19 09:48:01 UTC

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