Blaine Clark Penrod
Nursing in Provo, UT

License number
Utah 262231-3101
Issued Date
May 24, 1993
Expiration Date
Jan 31, 2018
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 20, 2016 at the Utah Division of Occupational and Professional Licensing.

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