License holder summary

AUDREY M VAN WAGONER is a Radiology - Radiologic Technologist licensed to practice in Utah. The address on file for AUDREY M VAN WAGONER is PROVO, UT 84606. This licensed professional license is not current. The license was granted 02/17/1993 and expired on 05/31/2007.

Utah

Division of Occupational and Professional Licensing

AUDREY M VAN WAGONER
Radiology - Radiologic Technologist
License number
260272-5401
Date granted
02/17/1993
Date expires
05/31/2007
Class
Radiology - Radiologic Technologist
Status
Expired
Address
PROVO, UT 84606
utahlicensing.org
ID 29978065
LAST UPDATED 2024-01-06 19:41:12 UTC

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