Division of Occupational and Professional Licensing
Board of Nursing
MELISSA BROADBENT SHACK
Nurse - Registered Nurse
License number
360735-3102
Date granted
02/28/2000
Date expires
01/31/2015
Class
Nurse - Registered Nurse
Status
Active
Address
LAYTON, UT 84041
nursingutah.org
ID 29853923
LAST UPDATED 2024-04-10 22:41:24 UTC
LAST UPDATED 2024-04-10 22:41:24 UTC
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