Utah
Division of Occupational and Professional Licensing
NOT PRACTICING IN UTAH
Pharmacy - Pharmacist
License number
500474-1701
Date granted
08/08/2007
Date expires
01/01/2999
Class
Pharmacy - Pharmacist
Status
Active
Address
SALT LAKE CITY, UT 84111
utahlicensing.org
ID 29887231
LAST UPDATED 2026-03-26 18:47:42 UTC
LAST UPDATED 2026-03-26 18:47:42 UTC
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