KELLY ANNE SUPPLE
Physician - Physician & Surgeon
Utah 325770-1205 Expired
This Utah license was held by KELLY ANNE SUPPLE. The license is no longer active. It was granted on 09/24/1996 and expired on 04/30/2000
LICENSE DETAILS
- License Number: 325770-1205
- Category: PHYSICIAN & SURGEON
- Status: Expired
- Date Granted: 09/24/1996 (almost 28 years ago)
- Expiry Date: 04/30/2000 (about 24 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 84105