License holder summary

MARTHA PATRICIA MANDUJANO is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for MARTHA PATRICIA MANDUJANO is MIDVALE, UT 84047. This licensed professional license is current. The license was granted 10/14/2005 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

MARTHA PATRICIA MANDUJANO
Physician Assistant - Physician Assistant
License number
6028041-1206
Date granted
10/14/2005
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
MIDVALE, UT 84047
utahlicensing.org
ID 29953570
LAST UPDATED 2026-06-09 19:52:50 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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