License holder summary

JERALD FAIRBANKS is a Substance Use Disorder - Licensed Sudc licensed to practice in Utah. The address on file for JERALD FAIRBANKS is SALT LAKE CITY, UT 84121. This licensed professional license is not current. The license was granted 02/18/1999 and expired on 05/31/2003.

Utah

Division of Occupational and Professional Licensing

JERALD FAIRBANKS
Substance Use Disorder - Licensed Sudc
License number
369102-6006
Date granted
02/18/1999
Date expires
05/31/2003
Class
Substance Use Disorder - Licensed Sudc
Status
Expired
Address
SALT LAKE CITY, UT 84121
utahlicensing.org
ID 30059458
LAST UPDATED 2024-04-17 17:53:48 UTC

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