Utah
Division of Occupational and Professional Licensing
CHARITY OAKS COE
Physician Assistant - Physician Assistant
License number
5744061-1206
Date granted
10/15/2004
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
SALT LAKE CITY, UT 84103
utahlicensing.org
ID 29952759
LAST UPDATED 2024-03-27 02:12:47 UTC
LAST UPDATED 2024-03-27 02:12:47 UTC
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