Utah
Division of Occupational and Professional Licensing
JACK B LARSEN
Health Facility Administrator - Health Facility Administrator
License number
120402-1501
Date granted
01/01/1911
Date expires
12/31/1987
Class
Health Facility Administrator - Health Facility Administrator
Status
Expired
Address
AMERICAN FORK, UT 84003
utahlicensing.org
ID 29790366
LAST UPDATED 2024-04-04 12:34:42 UTC
LAST UPDATED 2024-04-04 12:34:42 UTC
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