Utah
Division of Occupational and Professional Licensing
FREDERICK M BOLZENDAHL
Physician Assistant - Physician Assistant
License number
106562-1206
Date granted
01/31/1992
Date expires
05/31/1998
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
VANCOUVER, WA 986861504
utahlicensing.org
ID 29953022
LAST UPDATED 2026-03-31 13:09:25 UTC
LAST UPDATED 2026-03-31 13:09:25 UTC
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