License holder summary

STACEY IRENE BLACK is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for STACEY IRENE BLACK is Ephrata PA 17522. This licensed professional license is not current. The license was granted 04/27/2007 and expired on 03/31/2008.

Pennsylvania

Department of State

STACEY IRENE BLACK
Graduate Practical Nurse Permit
License number
TGPN016470
Date granted
04/27/2007
Date expires
03/31/2008
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Ephrata PA 17522
palicensing.org
ID 37709355
LAST UPDATED 2024-04-01 07:13:52 UTC

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