License holder summary

HAZEN TIMOTHY HERZOG is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for HAZEN TIMOTHY HERZOG is NORTH BEND, OR 97459. This licensed professional license is current. The license was granted 09/15/2009 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

HAZEN TIMOTHY HERZOG
Physician Assistant - Physician Assistant
License number
7462373-1206
Date granted
09/15/2009
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
NORTH BEND, OR 97459
utahlicensing.org
ID 29953079
LAST UPDATED 2026-05-09 11:04:23 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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