EVAN B THEOBALD
Nurse - Aprn Crna Controlled Substance
Utah 375417-8901 Active
This Utah license is held by EVAN B THEOBALD. The license is currently active. It was granted on 11/22/2004 and expired on 01/31/2016
LICENSE DETAILS
- License Number: 375417-8901
- Category: APRN-CRNA CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 11/22/2004 (over 20 years ago)
- Expiry Date: 01/31/2016 (over 9 years ago)
LOCATIONS
A Address
PAYSON, UT 84651