Utah
Division of Occupational and Professional Licensing
COLIN RALPH HICKENLOOPER
Physician Assistant - Physician Assistant
License number
381035-1206
Date granted
12/10/1999
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
ANCHORAGE, AK 995042318
utahlicensing.org
ID 29952806
LAST UPDATED 2024-03-03 19:21:47 UTC
LAST UPDATED 2024-03-03 19:21:47 UTC
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