Utah
Division of Occupational and Professional Licensing
SCOTT JACOB
Physician - Physician & Surgeon
License number
5853270-1205
Date granted
03/29/2005
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PROVO, UT 84601
utahlicensing.org
ID 29934430
LAST UPDATED 2024-04-04 10:20:39 UTC
LAST UPDATED 2024-04-04 10:20:39 UTC
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