Utah
Division of Occupational and Professional Licensing
RANDALL B CROCKETT
Physician Assistant - Physician Assistant
License number
295295-1206
Date granted
06/06/2000
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
PLEASANT GROVE, UT 84062
utahlicensing.org
ID 29953765
LAST UPDATED 2024-03-08 00:15:04 UTC
LAST UPDATED 2024-03-08 00:15:04 UTC
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