EMILY LARA PETERSEN

Physician - Physician/Surgeon Cs

Utah  6027146-8905   Expired

This Utah license was held by EMILY LARA PETERSEN. The license is no longer active. It was granted on 11/16/2005 and expired on 01/31/2012

LICENSE DETAILS

  • License Number: 6027146-8905
  • Category: PHYSICIAN/SURGEON CS
  • Status: Expired
  • Date Granted: 11/16/2005 (over 18 years ago)
  • Expiry Date: 01/31/2012 (over 12 years ago)

LOCATIONS

A Address

SALT LAKE CITY, UT 841063673