ERWIN KENT RASMUSSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

ERWIN

Middle

KENT

Last Name

RASMUSSEN

Business Name

ERWIN KENT RASMUSSEN MD

Original Issue Date

07/22/2015

Effective Date

07/22/2015

Expiration Date

07/31/2017

City

SALT LAKE CITY

State

Zip

84108

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017