Utah
Division of Occupational and Professional Licensing
BENJAMIN PANTONE WALLACE
Nurse - Licensed Practical Nurse
License number
4862152-3101
Date granted
08/16/2002
Date expires
01/31/2010
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
OGDEN, UT 844034104
utahlicensing.org
ID 29797231
LAST UPDATED 2024-03-16 09:05:54 UTC
LAST UPDATED 2024-03-16 09:05:54 UTC
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