JAY FORMAN BLANKENSHIP
Physician - Physician & Surgeon
Utah 7769878-1205 Expired
This Utah license was held by JAY FORMAN BLANKENSHIP. The license is no longer active. It was granted on 10/06/2010 and expired on 01/31/2014
LICENSE DETAILS
- License Number: 7769878-1205
- Category: PHYSICIAN & SURGEON
- Status: Expired
- Date Granted: 10/06/2010 (over 14 years ago)
- Expiry Date: 01/31/2014 (about 11 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84132