License holder summary

PATRICK R VAN WAGONER is a Nurse - Aprn Crna Without Pp licensed to practice in Utah. The address on file for PATRICK R VAN WAGONER is PROVO, UT 84604. This licensed professional license is current. The license was granted 01/01/1910 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

PATRICK R VAN WAGONER
Nurse - Aprn Crna Without Pp
License number
191104-4406
Date granted
01/01/1910
Date expires
01/31/2016
Class
Nurse - Aprn Crna Without Pp
Status
Active
Address
PROVO, UT 84604
utahlicensing.org
ID 29795294
LAST UPDATED 2024-02-20 21:14:30 UTC

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