Utah
Division of Occupational and Professional Licensing
SHANE LEE GRAHAM
Physician Assistant - Physician Assistant
License number
6025232-1206
Date granted
10/14/2005
Date expires
05/31/2012
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
SALT LAKE CITY, UT 84116
utahlicensing.org
ID 29953921
LAST UPDATED 2024-02-24 01:03:48 UTC
LAST UPDATED 2024-02-24 01:03:48 UTC
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