Utah
Division of Occupational and Professional Licensing
TYLER CLAY SOUTHARD
Physician Assistant - Physician Assistant
License number
9192320-1206
Date granted
11/07/2014
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
BOUNTIFUL, UT 84010
utahlicensing.org
ID 29954107
LAST UPDATED 2024-05-16 16:59:15 UTC
LAST UPDATED 2024-05-16 16:59:15 UTC
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