Utah
Division of Occupational and Professional Licensing
JASON JOHN POULSEN
Physician - Physician & Surgeon
License number
6019968-1205
Date granted
11/17/2005
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 29925820
LAST UPDATED 2024-02-21 01:38:44 UTC
LAST UPDATED 2024-02-21 01:38:44 UTC
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