Lyle Allen Jacobs
Physician in Provo, UT

License number
Utah 148836-8905
Issued Date
May 6, 1988
Expiration Date
Nov 7, 1996
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

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