PAUL CLARK BLUTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167318

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

CLARK

Last Name

BLUTH

Business Name

PAUL CLARK BLUTH MD

Original Issue Date

10/10/2023

Effective Date

10/10/2023

Expiration Date

07/31/2026

City

SOUTH SALT LAKE

State

Zip

84119

Ever Disciplined

LastModifiedDate

07/01/2024