Utah
Division of Occupational and Professional Licensing
JASON LEE BLACKHAM
Physician - Physician & Surgeon
License number
7216493-1205
Date granted
12/23/2008
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
OGDEN, UT 84403
utahlicensing.org
ID 29925828
LAST UPDATED 2024-04-02 17:56:42 UTC
LAST UPDATED 2024-04-02 17:56:42 UTC
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