Utah
Division of Occupational and Professional Licensing
BLAKE ALLEN MCMILLAN
Physician Assistant - Physician Assistant
License number
100808-1206
Date granted
10/31/2001
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
OGDEN, UT 84403
utahlicensing.org
ID 29952647
LAST UPDATED 2024-02-25 02:29:25 UTC
LAST UPDATED 2024-02-25 02:29:25 UTC
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