License holder summary

JIM C VANWAGENEN is a Podiatric Physician - Podiatric Physician licensed to practice in Utah. The address on file for JIM C VANWAGENEN is CLOVIS, CA 93612.

Utah

Division of Occupational and Professional Licensing

JIM C VANWAGENEN
Podiatric Physician - Podiatric Physician
License number
104143-0501
Class
Podiatric Physician - Podiatric Physician
Status
Denied
Address
CLOVIS, CA 93612
utahlicensing.org
ID 29971009
LAST UPDATED 2024-06-02 10:52:20 UTC

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