Professional Records
License Records
Blake G Leatham
Address:
Ogden, UT
License #:
189129-3101 - Expired
Category:
Nurse
Issued Date:
Nov 30, 1987
Expiration Date:
Dec 31, 1988
Type:
Licensed Practical Nurse (Under Interstate Compact)
Blake G Leatham
Address:
Ogden, UT
License #:
189129-3102 - Active
Category:
Nurse
Issued Date:
Aug 26, 1988
Expiration Date:
Jan 31, 2017
Type:
Registered Nurse (Under Interstate Compact)