License holder summary

SAMANTHA P BOSTROM is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for SAMANTHA P BOSTROM is CENTERVILLE, UT 84014. This licensed professional license is current. The license was granted 09/18/1996 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SAMANTHA P BOSTROM
Physician - Physician & Surgeon
License number
327457-1205
Date granted
09/18/1996
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
CENTERVILLE, UT 84014
utahlicensing.org
ID 29934151
LAST UPDATED 2024-05-13 05:38:47 UTC

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