Bevan Vern Bastian
Physician in Axtell, UT

License number
Utah 187675-8905
Issued Date
Jun 15, 1992
Expiration Date
Jan 31, 2012
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Axtell, UT
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.

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