Kathy B Wallace
Nursing in Taylorsville, UT

License number
Utah 180890-3101
Issued Date
Jun 12, 1984
Expiration Date
Jan 31, 2006
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Taylorsville, UT
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Kathy Wallace, age 62
4068 W 5050 S, Salt Lake City, UT 84118

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