License holder summary

BONITA BLASE is a Registered Nurse licensed to practice in Pennsylvania. The address on file for BONITA BLASE is Clarks Summit PA 18411. This licensed professional license is not current. The license was granted 10/02/1962 and expired on 10/31/2015.

Pennsylvania

Department of State

BONITA BLASE
Registered Nurse
License number
RN139696L
Date granted
10/02/1962
Date expires
10/31/2015
Class
Registered Nurse
Status
Expired
Address
Clarks Summit PA 18411
palicensing.org
ID 38001219
LAST UPDATED 2024-05-09 02:12:29 UTC

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