Division of Occupational and Professional Licensing
Board of Nursing
SHANE LANDRUM OTIS
Nurse - Registered Nurse
License number
361430-3102
Date granted
07/14/1998
Date expires
01/31/2017
Class
Nurse - Registered Nurse
Status
Active
Address
PROVIDENCE, UT 84332
nursingutah.org
ID 29863128
LAST UPDATED 2026-03-16 13:43:18 UTC
LAST UPDATED 2026-03-16 13:43:18 UTC
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