Utah
Division of Occupational and Professional Licensing
MANDY ANN BLACK
Nurse - Licensed Practical Nurse
License number
165861-3106
Date granted
12/05/1979
Date expires
12/31/1984
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
LAKEWOOD, CA 90715
utahlicensing.org
ID 29807479
LAST UPDATED 2024-03-08 12:15:23 UTC
LAST UPDATED 2024-03-08 12:15:23 UTC
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