SHANE VERL THEOBALD
Nurse - Aprn Crna Controlled Substance
Utah 4938276-8901 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: 4938276-8901
- Category: APRN-CRNA CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 10/01/2007 (over 17 years ago)
- Expiry Date: 01/31/2016 (over 9 years ago)
LOCATIONS
A Address
PAYSON, UT 84651