License holder summary

NICOLE ANNE CLARK is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for NICOLE ANNE CLARK is PROVO, UT 846043301. This licensed professional license is current. The license was granted 07/28/2000 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

NICOLE ANNE CLARK
Physician - Physician & Surgeon
License number
4775416-1205
Date granted
07/28/2000
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PROVO, UT 846043301
utahlicensing.org
ID 29931366
LAST UPDATED 2024-03-13 16:37:54 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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