Utah
Division of Occupational and Professional Licensing
DOUGLAS LAMAR FILLMORE
Physician Assistant - Physician Assistant
License number
4945215-1206
Date granted
07/05/2001
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29952950
LAST UPDATED 2024-05-09 10:09:56 UTC
LAST UPDATED 2024-05-09 10:09:56 UTC
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