License holder summary

TRACY REVELL SYDDALL is a Physician Assistant - Physician Assistant licensed to practice in Utah. The address on file for TRACY REVELL SYDDALL is SOUTH JORDAN, UT 84088. This licensed professional license is current. The license was granted 03/02/2009 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

TRACY REVELL SYDDALL
Physician Assistant - Physician Assistant
License number
7270173-1206
Date granted
03/02/2009
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
SOUTH JORDAN, UT 84088
utahlicensing.org
ID 29954086
LAST UPDATED 2024-01-23 22:51:11 UTC

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