Division of Occupational and Professional Licensing
Board of Nursing
JACOB ROBERT WALLACE
Nurse - Registered Nurse
License number
7205712-3102
Date granted
09/24/2009
Date expires
01/31/2015
Class
Nurse - Registered Nurse
Status
Active
Address
LOGAN, UT 84321
nursingutah.org
ID 29834467
LAST UPDATED 2024-05-02 08:08:21 UTC
LAST UPDATED 2024-05-02 08:08:21 UTC
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