Utah
Division of Occupational and Professional Licensing
TED BLACK DAVIS
Physician - Physician & Surgeon
License number
184655-1205
Date granted
10/10/1991
Date expires
01/31/2008
Class
Physician - Physician & Surgeon
Status
Expired
Address
LOGAN, UT 843411620
utahlicensing.org
ID 29935665
LAST UPDATED 2024-04-29 00:40:40 UTC
LAST UPDATED 2024-04-29 00:40:40 UTC
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