Utah
Division of Occupational and Professional Licensing
RICHARD D BLICKENSTAFF
Physician - Physician & Surgeon
License number
169966-1205
Date granted
08/19/1983
Date expires
12/31/1986
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84115
utahlicensing.org
ID 29932737
LAST UPDATED 2024-04-26 13:39:06 UTC
LAST UPDATED 2024-04-26 13:39:06 UTC
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