License holder summary

KELLY J BULLOCK is a Nurse - Licensed Practical Nurse licensed to practice in Utah. The address on file for KELLY J BULLOCK is PROVO, UT 84601. This licensed professional license is not current. The license was granted 12/08/1980 and expired on 12/31/1999.

Utah

Division of Occupational and Professional Licensing

KELLY J BULLOCK
Nurse - Licensed Practical Nurse
License number
168982-3101
Date granted
12/08/1980
Date expires
12/31/1999
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
PROVO, UT 84601
utahlicensing.org
ID 29805352
LAST UPDATED 2024-02-28 14:58:50 UTC

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