Utah
Division of Occupational and Professional Licensing
JEROME VANHOUSEN MOFFITT
Nurse - Licensed Practical Nurse
License number
162450-3101
Date granted
05/25/1978
Date expires
01/31/2006
Class
Nurse - Licensed Practical Nurse
Status
Renewal Denied
Address
POST FALLS, ID 83854
utahlicensing.org
ID 29803480
LAST UPDATED 2024-02-19 23:58:38 UTC
LAST UPDATED 2024-02-19 23:58:38 UTC
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