New Mexico
Regulation & Licensing Department
Staci A Logue-Johnson
Physician Assistant - Medical
License number
PA2003-0020
Date granted
05/30/2003
Date expires
03/01/2014
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5285621
LAST UPDATED 2024-04-25 21:05:25 UTC
LAST UPDATED 2024-04-25 21:05:25 UTC
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