William Ditmars Province, III
Physician in Park City, UT

License number
Utah 9448540-8905
Issued Date
Jun 17, 2015
Expiration Date
Jan 31, 2018
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Park City, UT
Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE
LicenseFiles verified this license of Dec 6, 2016 at the Utah Division of Occupational and Professional Licensing.

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