The holder whose full name is BURDMAN, DAPHNE FREDA,come from SALT LAKE CITY UT,hold the Physician license(NO.01040977A) which status is Expired Non-Renewable.
| Name | BURDMAN, DAPHNE FREDA |
|---|---|
| License Number | 01040977A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SALT LAKE CITY |
| State | UT |