Utah
Division of Occupational and Professional Licensing
KELLY DAVID MIKESELL
Physician Assistant - Physician Assistant
License number
5244260-1206
Date granted
07/19/2007
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
HERRIMAN, UT 84096
utahlicensing.org
ID 29953368
LAST UPDATED 2024-02-08 15:41:10 UTC
LAST UPDATED 2024-02-08 15:41:10 UTC
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