Utah
Division of Occupational and Professional Licensing
JEFFERY ALLEN CLARK
Physician - Physician & Surgeon
License number
260905-1205
Date granted
03/30/1993
Date expires
09/26/2007
Class
Physician - Physician & Surgeon
Status
Surrendered
Address
PROVO, UT 84601
utahlicensing.org
ID 29925971
LAST UPDATED 2024-04-03 18:07:50 UTC
LAST UPDATED 2024-04-03 18:07:50 UTC
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