Utah
Division of Occupational and Professional Licensing
JIM C VANWAGENEN
Podiatric Physician - Podiatric Physician
License number
104143-0501
Class
Podiatric Physician - Podiatric Physician
Status
Denied
Address
CLOVIS, CA 93612
utahlicensing.org
ID 29971009
LAST UPDATED 2026-04-26 21:38:40 UTC
LAST UPDATED 2026-04-26 21:38:40 UTC
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