License holder summary

KIMBERLY ANN BALOG is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for KIMBERLY ANN BALOG is SANDY, UT 84092. This licensed professional license is not current. The license was granted 03/10/2000 and expired on 01/31/2012.

Utah

Division of Occupational and Professional Licensing

KIMBERLY ANN BALOG
Physician - Physician & Surgeon
License number
3085908-1205
Date granted
03/10/2000
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
SANDY, UT 84092
utahlicensing.org
ID 29928299
LAST UPDATED 2024-03-22 01:56:49 UTC

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