Utah
Division of Occupational and Professional Licensing
KARL THEODORE WICKSTROM
Physician - Physician & Surgeon
License number
159892-1205
Date granted
08/31/1976
Date expires
01/31/2006
Class
Physician - Physician & Surgeon
Status
Expired
Address
PRESCOTT, AZ 86305
utahlicensing.org
ID 29927780
LAST UPDATED 2024-05-09 14:20:02 UTC
LAST UPDATED 2024-05-09 14:20:02 UTC
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