License holder summary

EVAN B THEOBALD is a Nurse - Aprn Crna Without Pp licensed to practice in Utah. The address on file for EVAN B THEOBALD is PAYSON, UT 84651. This licensed professional license is current. The license was granted 11/22/2004 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

EVAN B THEOBALD
Nurse - Aprn Crna Without Pp
License number
375417-4406
Date granted
11/22/2004
Date expires
01/31/2016
Class
Nurse - Aprn Crna Without Pp
Status
Active
Address
PAYSON, UT 84651
utahlicensing.org
ID 29795057
LAST UPDATED 2024-03-02 16:26:59 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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