License holder summary

LISA MARIE PROVO is a Nurse - Licensed Practical Nurse licensed to practice in Utah. The address on file for LISA MARIE PROVO is VERNAL, UT 84078. This licensed professional license is not current. The license was granted 03/13/1981 and expired on 12/31/1984.

Utah

Division of Occupational and Professional Licensing

LISA MARIE PROVO
Nurse - Licensed Practical Nurse
License number
170574-3101
Date granted
03/13/1981
Date expires
12/31/1984
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
VERNAL, UT 84078
utahlicensing.org
ID 29806914
LAST UPDATED 2026-05-15 07:29:12 UTC

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