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 2024-02-07 19:00:49 UTC
LAST UPDATED 2024-02-07 19:00:49 UTC
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