Evan G Black
Physician in Salt Lake City, UT

License number
Utah 187597-8905
Issued Date
Apr 5, 1995
Expiration Date
Jan 31, 2018
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.

Organization information

See more information about Evan G Black at bizstanding.com

DR. EVAN G. BLACK, LLC

370 E 9 Ave #106, Salt Lake City, UT 84103

Registration:
Jan 3, 2003
State ID:
5255944-0160
Business type:
LLC - Domestic
Agent:
Evan G Black,370 E 9 Ave #106, Salt Lake City, UT 84103 (Physical)

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