License holder summary

TANYA SHAE JACKSON is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for TANYA SHAE JACKSON is SANDY, UT 84094. This licensed professional license is current. The license was granted 09/20/2002 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

TANYA SHAE JACKSON
Physician - Physician & Surgeon
License number
5181735-1205
Date granted
09/20/2002
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
SANDY, UT 84094
utahlicensing.org
ID 29935631
LAST UPDATED 2024-04-16 14:28:17 UTC

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