License holder summary

KATHLEEN R FENNELL is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for KATHLEEN R FENNELL is SALT LAKE CITY, UT 84108. This licensed professional license is not current. The license was granted 01/01/1910 and expired on 12/31/1990.

Utah

Division of Occupational and Professional Licensing

KATHLEEN R FENNELL
Physician Assistant - Physician Assistant
License number
102346-1206
Date granted
01/01/1910
Date expires
12/31/1990
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
SALT LAKE CITY, UT 84108
utahlicensing.org
ID 29953348
LAST UPDATED 2024-03-22 22:10:47 UTC

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