Utah
Division of Occupational and Professional Licensing
TIN NYUNT
Physician - Physician & Surgeon
License number
277016-1205
Date granted
11/09/1994
Date expires
01/31/2006
Class
Physician - Physician & Surgeon
Status
Expired
Address
BIG SPRING, TX 79720
utahlicensing.org
ID 29936117
LAST UPDATED 2024-05-04 18:02:02 UTC
LAST UPDATED 2024-05-04 18:02:02 UTC
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