License holder summary

MARY J KLOCKSIEM is a Nurse - Licensed Practical Nurse licensed to practice in Utah. The address on file for MARY J KLOCKSIEM is KIRKLAND, WA 98033. This licensed professional license is not current. The license was granted 01/29/1986 and expired on 12/31/1990.

Utah

Division of Occupational and Professional Licensing

MARY J KLOCKSIEM
Nurse - Licensed Practical Nurse
License number
186288-3106
Date granted
01/29/1986
Date expires
12/31/1990
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
KIRKLAND, WA 98033
utahlicensing.org
ID 29808209
LAST UPDATED 2026-05-10 08:02:21 UTC

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