License holder summary

MICAM W TULLOUS is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for MICAM W TULLOUS is SAN ANTONIO, TX 78240. This licensed professional license is not current. The license was granted 08/03/1990 and expired on 12/31/1994.

Utah

Division of Occupational and Professional Licensing

MICAM W TULLOUS
Physician - Physician & Surgeon
License number
183311-1205
Date granted
08/03/1990
Date expires
12/31/1994
Class
Physician - Physician & Surgeon
Status
Expired
Address
SAN ANTONIO, TX 78240
utahlicensing.org
ID 29930358
LAST UPDATED 2024-04-10 01:43:49 UTC

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