Utah
Division of Occupational and Professional Licensing
JASON ALEXANDER VANDAAM
Nurse - Licensed Practical Nurse
License number
4832717-3101
Date granted
01/07/2005
Date expires
01/11/2013
Class
Nurse - Licensed Practical Nurse
Status
Surrendered
Address
SALT LAKE CITY, UT 84107
utahlicensing.org
ID 29803012
LAST UPDATED 2024-03-08 13:40:09 UTC
LAST UPDATED 2024-03-08 13:40:09 UTC
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