Utah
Division of Occupational and Professional Licensing
LACY JO TANNER
Nurse - Licensed Practical Nurse
License number
7376310-3101
Date granted
08/27/2009
Date expires
06/27/2012
Class
Nurse - Licensed Practical Nurse
Status
Surrendered
Address
LOGAN, UT 84321
utahlicensing.org
ID 29805979
LAST UPDATED 2024-03-29 08:45:51 UTC
LAST UPDATED 2024-03-29 08:45:51 UTC
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