Utah
Division of Occupational and Professional Licensing
LARA MICHELLE ANTONELLI
Physician Assistant - Physician Assistant
License number
5564864-1206
Date granted
03/05/2004
Date expires
05/31/2012
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
MOAB, UT 84532
utahlicensing.org
ID 29953444
LAST UPDATED 2024-05-01 17:02:05 UTC
LAST UPDATED 2024-05-01 17:02:05 UTC
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