Utah
Division of Occupational and Professional Licensing
AMANDA KIM JACK
Nurse - Licensed Practical Nurse
License number
7798636-3101
Date granted
01/24/2011
Date expires
01/31/2012
Class
Nurse - Licensed Practical Nurse
Status
Superceded
Address
LAYTON, UT 84040
utahlicensing.org
ID 29796164
LAST UPDATED 2024-02-26 23:31:31 UTC
LAST UPDATED 2024-02-26 23:31:31 UTC
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