PHILIP RAY MANUEL
Nurse - Aprn Crna Without Pp
Utah 5652041-4406 Revoked
This Utah license was held by PHILIP RAY MANUEL. The license is no longer active. It was granted on 05/26/2004 and expired on 10/08/2004
LICENSE DETAILS
- License Number: 5652041-4406
- Category: APRN-CRNA WITHOUT PP
- Status: Revoked
- Date Granted: 05/26/2004 (almost 21 years ago)
- Expiry Date: 10/08/2004 (over 20 years ago)
LOCATIONS
A Address
PROSSER, WA 99350