Lydia Diane Jack
Nursing in Vernal, UT

License number
Utah 6911316-3101
Issued Date
Apr 16, 2008
Expiration Date
Jan 31, 2010
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Vernal, UT
Education
UTAH VALLEY STATE COLLEGE
UTAH VALLEY UNIVERSITY

Personal information

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Name
Address
Phone
Lydia Jack, age 38
5467 Scarsborough Way, Tooele, UT 84074
(435) 828-2526