JERRY KAY POULSEN
Physician - Physician & Surgeon
Utah 149739-1205 Deceased
This Utah license was held by JERRY KAY POULSEN. The license is no longer active. It was granted on 06/25/1968 and expired on 01/31/2004
LICENSE DETAILS
- License Number: 149739-1205
- Category: PHYSICIAN & SURGEON
- Status: Deceased
- Date Granted: 06/25/1968 (almost 57 years ago)
- Expiry Date: 01/31/2004 (over 21 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84123