ALEXIS N DE GASTON
Physician - Physician/Surgeon Cs
Utah 164460-8905 Revoked
This Utah license was held by ALEXIS N DE GASTON. The license is no longer active. It was granted on 09/12/1984 and expired on 12/27/2002
LICENSE DETAILS
- License Number: 164460-8905
- Category: PHYSICIAN/SURGEON CS
- Status: Revoked
- Date Granted: 09/12/1984 (over 41 years ago)
- Expiry Date: 12/27/2002 (over 23 years ago)
LOCATIONS
A Address
MORENO VALLEY, CA 925572916