Utah
Division of Occupational and Professional Licensing
WINSTON N PETERSEN
Physician Assistant - Physician Assistant
License number
262207-1206
Date granted
04/14/2004
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
PROVO, UT 84603
utahlicensing.org
ID 29954159
LAST UPDATED 2024-04-09 01:15:12 UTC
LAST UPDATED 2024-04-09 01:15:12 UTC
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