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