LICENSE CATEGORY
PHYSICIAN
2
LICENSE SUBCATEGORY
PHYSICIAN & SURGEON
731
PHYSICIAN/SURGEON CS
580
TEMPORARY PHYSICIAN & SURGEON
TEMP PHYSICIAN/SURGEON CONT...
1
VOLUNTEER PHYSICIAN & SURGEON
VOLUNTEER PHYSICIAN/SURGEON CS
PHYSICIAN EDUCATOR TYPE II
PHYSICIAN EDUCATOR CS
JURISDICTION
Utah
STATUSES
Superceded
LOCALITIES
Mapleton
Coronado
FIRST LETTER
GARY DEAN SLAVENS
Utah (Mapleton) - Physician - Temporary Physician & Surgeon Superceded
GEORGE ANTHONY LUIKEN
Utah (Coronado) - Physician - Temporary Physician & Surgeon Superceded