Utah
Division of Occupational and Professional Licensing
JENNIFER ELLEN CARLSON
Physician - Physician & Surgeon
License number
5758864-1205
Date granted
11/10/2004
Date expires
01/31/2010
Class
Physician - Physician & Surgeon
Status
Expired
Address
JERICHO, VT 054659536
utahlicensing.org
ID 29926200
LAST UPDATED 2024-05-09 18:02:58 UTC
LAST UPDATED 2024-05-09 18:02:58 UTC
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