Pennsylvania
Department of State
STACIA LEE BASOM
Graduate Registered Nurse Permit
License number
TGRN054647
Date granted
01/02/2009
Date expires
12/31/2009
Class
Graduate Registered Nurse Permit
Status
Voided
Address
Harrisburg PA 17111
palicensing.org
ID 37729694
LAST UPDATED 2024-03-25 11:43:00 UTC
LAST UPDATED 2024-03-25 11:43:00 UTC
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