Utah
Division of Occupational and Professional Licensing
SUSAN ANN LAVERTY
Physician Assistant - Physician Assistant
License number
4780926-1206
Date granted
07/31/2000
Date expires
05/31/2004
Class
Physician Assistant - Physician Assistant
Status
Expired
Address
SALT LAKE CITY, UT 84106
utahlicensing.org
ID 29954001
LAST UPDATED 2026-04-20 02:46:01 UTC
LAST UPDATED 2026-04-20 02:46:01 UTC
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