This is an official document of the Utah Nursing Assistant Registry

BOLITH, JACOB

Has prior history of misconduct

Misconduct History

Type Verified At
Abuse 06/08/2007

Certification History

Certification Status Issued Expires
Nurse Aide
UT000245200399
Archived
03/31/2007 03/31/2009
Nurse Aide
UT000245200399
Expired
03/31/2005 03/31/2007
Nurse Aide
UT000245200399
Expired
03/31/2003 03/31/2005
Nurse Aide
UT000245200399
Expired
03/31/2001 03/31/2003
Nurse Aide
UT000245200399
Initial
03/31/1999 03/31/2001
UNAR
450 Simmons Way #700 - Kaysville, UT 84037
office@utahcnaregistry.com
utahcnaregistry.com