L Scott Van Wagoner
Osteopathic Medicine in Alpine, UT

License number
Utah 359724-8904
Issued Date
Jun 18, 1998
Expiration Date
May 31, 2018
Category
Osteopathic Physician
Type
Osteopathic Controlled Substance (Schedule 2-5)
Address
Address
Alpine, UT
LicenseFiles verified this license of Nov 21, 2016 at the Utah Division of Occupational and Professional Licensing.

Organization information

See more information about L Scott Van Wagoner at bizstanding.com

L. SCOTT VAN WAGONER, D.O., PC

1107 E Round Mtn Dr, Alpine, UT 84004

Registration:
Mar 29, 2005
State ID:
5872412-0144
Business type:
Corporation - Professional
Agent:
L Scott Van Wagoner,1107 E Round Mtn Dr, Alpine, UT 84004 (Physical)

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