Utah
Division of Occupational and Professional Licensing
CAMERON LAKE NICHOLS
Physician Assistant - Physician Assistant
License number
8072567-1206
Date granted
08/25/2011
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
KINGMAN, AZ 86401
utahlicensing.org
ID 29952724
LAST UPDATED 2026-06-13 21:09:32 UTC
LAST UPDATED 2026-06-13 21:09:32 UTC
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