Division of Occupational and Professional Licensing
Board of Nursing
TRAVIS KYLE WALLACE
Nurse - Registered Nurse
License number
5551662-3102
Date granted
10/11/2006
Date expires
01/31/2015
Class
Nurse - Registered Nurse
Status
Active
Address
SANDY, UT 84094
nursingutah.org
ID 29869081
LAST UPDATED 2024-04-07 16:31:44 UTC
LAST UPDATED 2024-04-07 16:31:44 UTC
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