Utah
Division of Occupational and Professional Licensing
TIMOTHY JARED BLACK
Nurse - Licensed Practical Nurse
License number
8535186-3101
Date granted
03/18/2013
Date expires
01/31/2016
Class
Nurse - Licensed Practical Nurse
Status
Superceded
Address
CEDAR CITY, UT 84721
utahlicensing.org
ID 29813349
LAST UPDATED 2024-02-24 12:22:47 UTC
LAST UPDATED 2024-02-24 12:22:47 UTC
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