License holder summary

LAVERE DEE POULSEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for LAVERE DEE POULSEN is SALT LAKE CITY, UT 84117. This licensed professional license is not current. The license was granted 08/17/1954 and expired on 01/31/2004.

Utah

Division of Occupational and Professional Licensing

LAVERE DEE POULSEN
Physician - Physician & Surgeon
License number
141855-1205
Date granted
08/17/1954
Date expires
01/31/2004
Class
Physician - Physician & Surgeon
Status
Deceased
Address
SALT LAKE CITY, UT 84117
utahlicensing.org
ID 29928686
LAST UPDATED 2024-03-10 15:11:42 UTC

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