PATRICK R VAN WAGONER
Nurse - Aprn Crna Controlled Substance
Utah 191104-8901 Active
This Utah license is held by PATRICK R VAN WAGONER. The license is currently active. It was granted on 05/22/2000 and expired on 01/31/2016
LICENSE DETAILS
- License Number: 191104-8901
- Category: APRN-CRNA CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 05/22/2000 (about 25 years ago)
- Expiry Date: 01/31/2016 (over 9 years ago)
LOCATIONS
A Address
PAYSON, UT 84651