Shane Verl Theobald
Nursing in Payson, UT

License number
Utah 4938276-8901
Issued Date
Oct 1, 2007
Expiration Date
Jan 31, 2018
Category
Nurse
Type
APRN-CRNA Controlled Substance (Schedule 2-5)
Address
Address
Payson, UT
Education
KAISER PERMANENTE
WEBER STATE UNIVERSITY
WEBER STATE UNIVERSITY