License holder summary

PHIL BRENT PETERSEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for PHIL BRENT PETERSEN is SALT LAKE CITY, UT 841213605. This licensed professional license is not current. The license was granted 08/21/1973 and expired on 01/31/2014.

Utah

Division of Occupational and Professional Licensing

PHIL BRENT PETERSEN
Physician - Physician & Surgeon
License number
155764-1205
Date granted
08/21/1973
Date expires
01/31/2014
Class
Physician - Physician & Surgeon
Status
Deceased
Address
SALT LAKE CITY, UT 841213605
utahlicensing.org
ID 29932077
LAST UPDATED 2024-03-03 12:16:36 UTC

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