License holder summary

TAIRA FUKUSHIMA is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for TAIRA FUKUSHIMA is SALT LAKE CITY, UT 84117. This licensed professional license is not current. The license was granted 07/01/1965 and expired on 01/31/1998.

Utah

Division of Occupational and Professional Licensing

TAIRA FUKUSHIMA
Physician - Physician & Surgeon
License number
148170-1205
Date granted
07/01/1965
Date expires
01/31/1998
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84117
utahlicensing.org
ID 29935594
LAST UPDATED 2026-04-19 08:47:59 UTC

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