Utah
Division of Occupational and Professional Licensing
SHANE MARTIN WIBLE
Physician Assistant - Physician Assistant
License number
6792106-1206
Date granted
11/20/2007
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
BROOKLYN, NY 11211
utahlicensing.org
ID 29953923
LAST UPDATED 2024-04-15 08:48:46 UTC
LAST UPDATED 2024-04-15 08:48:46 UTC
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