Utah
Division of Occupational and Professional Licensing
CARRIE MICHELLE JACKMAN
Physician Assistant - Physician Assistant
License number
6305663-1206
Date granted
10/02/2006
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
OREM, UT 84058
utahlicensing.org
ID 29952740
LAST UPDATED 2024-05-11 09:49:04 UTC
LAST UPDATED 2024-05-11 09:49:04 UTC
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