Utah
Division of Occupational and Professional Licensing
SHANE VERL THEOBALD
Nurse - Aprn Crna Without Pp
License number
4938276-4406
Date granted
10/01/2007
Date expires
01/31/2016
Class
Nurse - Aprn Crna Without Pp
Status
Active
Address
PAYSON, UT 84651
utahlicensing.org
ID 29795371
LAST UPDATED 2024-02-15 11:00:35 UTC
LAST UPDATED 2024-02-15 11:00:35 UTC
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