License holder summary

SHANE VERL THEOBALD is a Nurse - Aprn Crna Without Pp licensed to practice in Utah. The address on file for SHANE VERL THEOBALD is PAYSON, UT 84651. This licensed professional license is current. The license was granted 10/01/2007 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

SHANE VERL THEOBALD
Nurse - Aprn Crna Without Pp
License number
4938276-4406
Date granted
10/01/2007
Date expires
01/31/2016
Class
Nurse - Aprn Crna Without Pp
Status
Active
Address
PAYSON, UT 84651
utahlicensing.org
ID 29795371
LAST UPDATED 2024-01-22 05:44:55 UTC

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