Utah
Division of Occupational and Professional Licensing
LACEE LEACH
Physician Assistant - Physician Assistant
License number
8139778-1206
Date granted
11/03/2011
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29953440
LAST UPDATED 2024-04-15 16:55:57 UTC
LAST UPDATED 2024-04-15 16:55:57 UTC
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