SHANE VERL THEOBALD
Nurse - Aprn Crna Without Pp
Utah 4938276-4406 Active
This Utah license is held by SHANE VERL THEOBALD. The license is currently active. It was granted on 10/01/2007 and expired on 01/31/2016
LICENSE DETAILS
- License Number: 4938276-4406
- Category: APRN-CRNA WITHOUT PP
- Status: Active
- Date Granted: 10/01/2007 (almost 19 years ago)
- Expiry Date: 01/31/2016 (over 10 years ago)
LOCATIONS
A Address
PAYSON, UT 84651