Utah
Division of Occupational and Professional Licensing
DERICK W MOODY
Physician Assistant - Physician Assistant
License number
8820342-1206
Date granted
11/14/2013
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29952931
LAST UPDATED 2024-04-17 17:20:40 UTC
LAST UPDATED 2024-04-17 17:20:40 UTC
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