JACK HOUGEN PETAJAN
Physician - Physician & Surgeon
Utah 150609-1205 Deceased
This Utah license was held by JACK HOUGEN PETAJAN. The license is no longer active. It was granted on 08/26/1969 and expired on 06/22/2005
LICENSE DETAILS
- License Number: 150609-1205
- Category: PHYSICIAN & SURGEON
- Status: Deceased
- Date Granted: 08/26/1969 (almost 56 years ago)
- Expiry Date: 06/22/2005 (almost 20 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84132