Pennsylvania
Department of State
DWAYNE CHARLES MICKOLICK
Graduate Practical Nurse Permit
License number
PN000699Y
Date granted
02/08/2000
Date expires
02/28/2001
Class
Graduate Practical Nurse Permit
Status
Inactive
Address
ENHAUT PA 17113
palicensing.org
ID 16681010
LAST UPDATED 2024-04-02 16:11:57 UTC
LAST UPDATED 2024-04-02 16:11:57 UTC
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