License holder summary

SHANNON RACHELLE STAKER is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for SHANNON RACHELLE STAKER is ROOSEVELT, UT 84066. This licensed professional license is current. The license was granted 04/27/2001 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SHANNON RACHELLE STAKER
Physician - Physician & Surgeon
License number
4911064-1205
Date granted
04/27/2001
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
ROOSEVELT, UT 84066
utahlicensing.org
ID 29934620
LAST UPDATED 2026-04-21 09:48:12 UTC

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