Division of Occupational and Professional Licensing
Board of Nursing
PATRICK R VAN WAGONER
Nurse - Registered Nurse
License number
191104-3102
Date granted
08/28/1972
Date expires
12/31/1981
Class
Nurse - Registered Nurse
Status
Expired
Address
PAYSON, UT 84651
nursingutah.org
ID 29858251
LAST UPDATED 2024-03-10 17:13:23 UTC
LAST UPDATED 2024-03-10 17:13:23 UTC
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