Utah
Division of Occupational and Professional Licensing
JEFFREY ROBERT VAN BLARCOM
Physician - Physician & Surgeon
License number
5698653-1205
Date granted
08/26/2004
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84108
utahlicensing.org
ID 29926115
LAST UPDATED 2026-04-01 08:35:04 UTC
LAST UPDATED 2026-04-01 08:35:04 UTC
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