ETHAN BRANAM COLLIVER
Osteopathic Physician - Osteopathic Physician & Surgeon
Utah 6049218-1204 Expired
This Utah license was held by ETHAN BRANAM COLLIVER. The license is no longer active. It was granted on 12/09/2005 and expired on 05/31/2010
LICENSE DETAILS
- License Number: 6049218-1204
- Category: OSTEOPATHIC PHYSICIAN & SURGEON
- Status: Expired
- Date Granted: 12/09/2005 (over 19 years ago)
- Expiry Date: 05/31/2010 (about 15 years ago)
LOCATIONS
A Address
BLACKSBURG, VA 240601812