Utah
Division of Occupational and Professional Licensing
MICHAEL JASON PENROD
Physician - Physician & Surgeon
License number
5755109-1205
Date granted
11/12/2004
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 84102
utahlicensing.org
ID 29930582
LAST UPDATED 2024-03-07 08:58:05 UTC
LAST UPDATED 2024-03-07 08:58:05 UTC
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