JAMES THOMAS DANE MD - Medical Doctor License in Utah | # 036111986

JAMES THOMAS DANE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111986

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

THOMAS

Last Name

DANE

Suffix

MD

Business Name

JAMES THOMAS DANE MD

Original Issue Date

07/29/2004

Effective Date

07/29/2004

Expiration Date

07/31/2005

State

UT

Ever Disciplined

N

LastModifiedDate

10/09/2006