Theodore Radja Manullang
Physician in Salt Lake City, UT

License number
Utah 309519-1205
Issued Date
Sep 11, 1995
Expiration Date
Apr 30, 2000
Category
Physician
Type
Physician & Surgeon
Address
Address
Salt Lake City, UT
LicenseFiles verified this license of Nov 20, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

See more information about Theodore Radja Manullang at radaris.com
Name
Address
Phone
Theodore R Manullang
1632 Laird Ave, Salt Lake City, UT 84105
(801) 582-8956

Physician licenses in Utah










Other Doctors licenses in Utah