NICOLE MARIE WIGTON - Physician Assistant License in Utah | # 085002038

NICOLE MARIE WIGTON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002038

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

MARIE

Last Name

WIGTON

Business Name

NICOLE MARIE WIGTON

Original Issue Date

08/04/2003

Effective Date

08/04/2003

Expiration Date

03/01/2006

State

UT

Ever Disciplined

N

LastModifiedDate

10/09/2006