Pennsylvania
Department of State
LESLIE T BULLOCK
Nursing Home Administrator
License number
NH002238L
Date granted
04/28/1983
Date expires
06/30/1990
Class
Nursing Home Administrator
Status
Expired
Address
FORTY FORT PA 18704
palicensing.org
ID 16914676
LAST UPDATED 2024-05-24 12:58:30 UTC
LAST UPDATED 2024-05-24 12:58:30 UTC
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