License holder summary

ANDREA JEAN BLACK is a Nurse - Licensed Practical Nurse licensed to practice in Utah. The address on file for ANDREA JEAN BLACK is SALEM, UT 84653. This licensed professional license is not current. The license was granted 02/06/1998 and expired on 02/24/1999.

Utah

Division of Occupational and Professional Licensing

ANDREA JEAN BLACK
Nurse - Licensed Practical Nurse
License number
350735-3101
Date granted
02/06/1998
Date expires
02/24/1999
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
SALEM, UT 84653
utahlicensing.org
ID 29796414
LAST UPDATED 2026-05-03 13:59:15 UTC

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