License holder summary

LEE SELF is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for LEE SELF is OLA, ID 83657. This licensed professional license is current. The license was granted 05/27/1997 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

LEE SELF
Physician - Physician & Surgeon
License number
338750-1205
Date granted
05/27/1997
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
OLA, ID 83657
utahlicensing.org
ID 29928770
LAST UPDATED 2024-02-14 03:05:39 UTC

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