WARREN R STACK
Physician - Physician/Surgeon Cs
Utah 167902-8905 Surrendered
This Utah license was held by WARREN R STACK. The license is no longer active. It was granted on 04/02/1987 and expired on 07/17/2007
LICENSE DETAILS
- License Number: 167902-8905
- Category: PHYSICIAN/SURGEON CS
- Status: Surrendered
- Date Granted: 04/02/1987 (about 38 years ago)
- Expiry Date: 07/17/2007 (almost 18 years ago)
LOCATIONS
A Address
SALT LAKE CITY, UT 841102758