Utah
Division of Occupational and Professional Licensing
JACKIE E BLACK
Nurse - Licensed Practical Nurse
License number
218040-3101
Date granted
12/12/1983
Date expires
12/31/1988
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
SALEM, UT 84653
utahlicensing.org
ID 29802459
LAST UPDATED 2024-04-10 07:37:02 UTC
LAST UPDATED 2024-04-10 07:37:02 UTC
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