License holder summary

SHANE LEE GRAHAM is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for SHANE LEE GRAHAM is SALT LAKE CITY, UT 84116. This licensed professional license is not current. The license was granted 10/14/2005 and expired on 05/31/2012.

Utah

Division of Occupational and Professional Licensing

SHANE LEE GRAHAM
Physician Assistant - Physician Assistant
License number
6025232-1206
Date granted
10/14/2005
Date expires
05/31/2012
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
SALT LAKE CITY, UT 84116
utahlicensing.org
ID 29953921
LAST UPDATED 2026-03-18 23:54:49 UTC

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