License holder summary

CARISSA ANNETTE NIEDERHAUSER is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for CARISSA ANNETTE NIEDERHAUSER is WILLISTON, ND 58801. This licensed professional license is current. The license was granted 10/29/2014 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

CARISSA ANNETTE NIEDERHAUSER
Physician Assistant - Physician Assistant
License number
9203464-1206
Date granted
10/29/2014
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
WILLISTON, ND 58801
utahlicensing.org
ID 29952731
LAST UPDATED 2024-01-13 20:33:14 UTC

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