DERIC VER NON RAVSTEN
Osteopathic Physician - Osteopathic Controlled Substance
Utah 323353-8904 Expired
This Utah license was held by DERIC VER NON RAVSTEN. The license is no longer active. It was granted on 07/18/1996 and expired on 05/31/2004
LICENSE DETAILS
- License Number: 323353-8904
- Category: OSTEOPATHIC CONTROLLED SUBSTANCE
- Status: Expired
- Date Granted: 07/18/1996 (almost 29 years ago)
- Expiry Date: 05/31/2004 (almost 21 years ago)
LOCATIONS
A Address
PRICE, UT 845014131