Utah
Division of Occupational and Professional Licensing
JACOB MANUEL MONSIVAIS
Physician Assistant - Physician Assistant
License number
8021335-1206
Date granted
06/13/2011
Date expires
05/31/2014
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
SPRINGFIELD, IL 627044641
utahlicensing.org
ID 29953111
LAST UPDATED 2024-05-25 07:12:03 UTC
LAST UPDATED 2024-05-25 07:12:03 UTC
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