Stacy Laura Clark
Nursing in Provo, UT

License number
Utah 5187142-3102
Issued Date
Jan 13, 2003
Expiration Date
Jan 31, 2009
Category
Nurse
Type
Registered Nurse (Under Interstate Compact)
Address
Address
Provo, UT
Education
BRIGHAM YOUNG UNIVERSITY
LicenseFiles verified this license of Dec 6, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Stacy Clark, age 46
375 N 100 W, Payson, UT 84651

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