Utah
Division of Occupational and Professional Licensing
CHAD LARRY PROVOST
Pharmacy - Pharmacy Technician
License number
6970218-1717
Date granted
05/06/2008
Date expires
09/30/2015
Class
Pharmacy - Pharmacy Technician
Status
Active
Address
SAINT GEORGE, UT 84770
utahlicensing.org
ID 29893174
LAST UPDATED 2024-03-01 12:37:49 UTC
LAST UPDATED 2024-03-01 12:37:49 UTC
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