Connie Elaine Clark
Nursing in Provo, UT

License number
Utah 129961-3101
Issued Date
Dec 3, 1963
Expiration Date
Dec 31, 1988
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Connie Clark, age 47
4410 W 4985 S, Salt Lake City, UT 84118
(801) 542-0286

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