Utah
Division of Occupational and Professional Licensing
MARK MONTGOMERY SULLIVAN
Physician Assistant - Physician Assistant
License number
7131889-1206
Date granted
09/16/2008
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
SANDY, UT 84093
utahlicensing.org
ID 29953561
LAST UPDATED 2024-03-08 20:44:58 UTC
LAST UPDATED 2024-03-08 20:44:58 UTC
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