License holder summary

SCOTT LYLES PROVOST is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for SCOTT LYLES PROVOST is SALT LAKE CITY, UT 841032684. This licensed professional license is current. The license was granted 11/07/2002 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SCOTT LYLES PROVOST
Physician - Physician & Surgeon
License number
5210810-1205
Date granted
11/07/2002
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SALT LAKE CITY, UT 841032684
utahlicensing.org
ID 29934450
LAST UPDATED 2026-03-29 14:11:05 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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