Utah
Division of Occupational and Professional Licensing
MICAH LYN MJ LAWRENCE
Physician Assistant - Physician Assistant
License number
8110172-1206
Date granted
09/26/2011
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
SALT LAKE CITY, UT 84105
utahlicensing.org
ID 29953621
LAST UPDATED 2026-03-15 20:59:09 UTC
LAST UPDATED 2026-03-15 20:59:09 UTC
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