Utah
Division of Occupational and Professional Licensing
LARISSA ANN TIDWELL
Nurse - Licensed Practical Nurse
License number
264686-3101
Date granted
11/24/1993
Date expires
01/31/2014
Class
Nurse - Licensed Practical Nurse
Status
Superceded
Address
PROVO, UT 84604
utahlicensing.org
ID 29806045
LAST UPDATED 2024-04-28 23:48:14 UTC
LAST UPDATED 2024-04-28 23:48:14 UTC
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