LICENSE CATEGORY
PHYSICIAN
3
LICENSE SUBCATEGORY
PHYSICIAN & SURGEON
354
PHYSICIAN/SURGEON CS
338
TEMPORARY PHYSICIAN & SURGEON
4
TEMP PHYSICIAN/SURGEON CONT...
JURISDICTION
Utah
STATUSES
Superceded
LOCALITIES
West Palm Beach
27
Boynton Beach
Dallas
San Antonio
Denver
Grand Junction
2
Idaho Falls
Sandy
Salt Lake City
Provo
Saint George
Las Vegas
San Diego
Honolulu
Portland
1
FIRST LETTER
BRAD BLACHLY SWELSTAD
Utah (Sandy) - Physician - Temp Physician/Surgeon Cont Substance Superceded
ERIC CARLETON ROBERTS
HUSSAM BITAR