Utah
Division of Occupational and Professional Licensing
SHAYNA JO MICKELSEN
Nurse - Licensed Practical Nurse
License number
8137525-3101
Date granted
01/31/2012
Date expires
01/31/2014
Class
Nurse - Licensed Practical Nurse
Status
Superceded
Address
RIVER HEIGHTS, UT 84321
utahlicensing.org
ID 29811843
LAST UPDATED 2026-05-07 16:40:53 UTC
LAST UPDATED 2026-05-07 16:40:53 UTC
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