E Wayne Larsen
Physician in Centerville, UT

License number
Utah 187423-8905
Issued Date
Jun 9, 1992
Expiration Date
Jan 31, 2018
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Centerville, UT
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.

Organization information

See more information about E Wayne Larsen at bizstanding.com

E. WAYNE LARSEN, M.D., INC

1786 N Main, Centerville, UT 84014

Registration:
Jul 14, 2004
State ID:
5689014-0142
Business type:
Corporation - Domestic - Profit
Agent:
John S Bradley,111 E Broadway 11, Salt Lake City, UT 84111 (Physical)

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