Utah
Division of Occupational and Professional Licensing
LARRY THEADORE WILCKEN
Physician - Physician & Surgeon
License number
158064-1205
Date granted
07/01/1975
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
VERNAL, UT 840789404
utahlicensing.org
ID 29928599
LAST UPDATED 2024-03-13 07:01:33 UTC
LAST UPDATED 2024-03-13 07:01:33 UTC
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