Utah
Division of Occupational and Professional Licensing
CODY BEAU NIELSON
Physician Assistant - Physician Assistant
License number
8434517-1206
Date granted
09/21/2012
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
DELTA, UT 846248928
utahlicensing.org
ID 29952802
LAST UPDATED 2026-04-05 19:27:57 UTC
LAST UPDATED 2026-04-05 19:27:57 UTC
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