License holder summary

ROGER D CUSHMAN is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for ROGER D CUSHMAN is IDAHO FALLS, ID 834047167. This licensed professional license is not current. The license was granted 05/23/2008 and expired on 05/31/2012.

Utah

Division of Occupational and Professional Licensing

ROGER D CUSHMAN
Physician Assistant - Physician Assistant
License number
6671346-1206
Date granted
05/23/2008
Date expires
05/31/2012
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
IDAHO FALLS, ID 834047167
utahlicensing.org
ID 29953833
LAST UPDATED 2024-03-14 20:22:04 UTC

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