Utah
Division of Occupational and Professional Licensing
BLAINE CLARK PENROD
Nurse - Licensed Practical Nurse
License number
262231-3101
Date granted
05/24/1993
Date expires
01/31/2016
Class
Nurse - Licensed Practical Nurse
Status
Active
Address
PROVO, UT 84601
utahlicensing.org
ID 29797445
LAST UPDATED 2024-03-27 01:29:13 UTC
LAST UPDATED 2024-03-27 01:29:13 UTC
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