The holder whose full name is Swelstad, Brad Blachly,come from Sandy UT,hold the Physician license(NO.01069945A) which status is Expired.
| Name | Swelstad, Brad Blachly |
|---|---|
| License Number | 01069945A |
| License Type | Physician |
| License Status | Expired |
| City | Sandy |
| State | UT |