License holder summary

LEE DEFAZIO is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for LEE DEFAZIO is Honesdale PA 18431. This licensed professional license is current. The license was granted 07/23/2007 and expired on 10/31/2016.

Pennsylvania

Department of State

LEE DEFAZIO
Certified Registered Nurse Practitioner
License number
SP009466
Date granted
07/23/2007
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Honesdale PA 18431
palicensing.org
ID 16671841
LAST UPDATED 2024-02-09 05:07:16 UTC

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