Lisa Marie Provo
Nursing in Vernal, UT

License number
Utah 170574-3101
Issued Date
Mar 13, 1981
Expiration Date
Dec 31, 1984
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Vernal, UT
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.

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