Pennsylvania
Department of State
MARTHA DAVIS BASOM
Practical Nurse
License number
PN254180L
Date granted
01/18/1996
Date expires
06/30/2012
Class
Practical Nurse
Status
Inactive
Address
MECHANICSBURG PA 17050
palicensing.org
ID 37790005
LAST UPDATED 2024-04-29 21:08:14 UTC
LAST UPDATED 2024-04-29 21:08:14 UTC
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