Utah
Division of Occupational and Professional Licensing
BLAINE NATHAN JACOB
Radiology - Radiologic Technologist
License number
4808560-5401
Date granted
09/13/2000
Date expires
05/31/2015
Class
Radiology - Radiologic Technologist
Status
Active
Address
AMERICAN FORK, UT 84003
utahlicensing.org
ID 29978127
LAST UPDATED 2024-03-14 12:06:38 UTC
LAST UPDATED 2024-03-14 12:06:38 UTC
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