License holder summary

MARIANNE ANTOINETTE MUSTAFA is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for MARIANNE ANTOINETTE MUSTAFA is PROVO, UT 84604. This licensed professional license is not current. The license was granted 07/25/2001 and expired on 01/31/2004.

Utah

Division of Occupational and Professional Licensing

MARIANNE ANTOINETTE MUSTAFA
Physician - Physician & Surgeon
License number
4894802-1205
Date granted
07/25/2001
Date expires
01/31/2004
Class
Physician - Physician & Surgeon
Status
Expired
Address
PROVO, UT 84604
utahlicensing.org
ID 29929527
LAST UPDATED 2024-05-27 11:44:23 UTC

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