Pennsylvania
Department of State
DEANA M FANTOM
Registered Nurse Temporary Permit
License number
RN002511Y
Date granted
11/16/1998
Date expires
11/30/1999
Class
Registered Nurse Temporary Permit
Status
Inactive
Address
PHILA PA 19115
palicensing.org
ID 16905427
LAST UPDATED 2024-04-16 12:01:51 UTC
LAST UPDATED 2024-04-16 12:01:51 UTC
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