License holder summary

LATHA SREE POLAVARAM is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for LATHA SREE POLAVARAM is SALT LAKE CITY, UT 841024168. This licensed professional license is not current. The license was granted 09/04/2008 and expired on 01/31/2014.

Utah

Division of Occupational and Professional Licensing

LATHA SREE POLAVARAM
Physician - Physician & Surgeon
License number
7105700-1205
Date granted
09/04/2008
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 841024168
utahlicensing.org
ID 29928611
LAST UPDATED 2026-03-27 16:06:21 UTC

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