Pennsylvania
Department of State
TINA FORNWALT TIENE
Practical Nurse
License number
PN097681L
Date granted
12/12/1989
Date expires
06/30/2016
Class
Practical Nurse
Status
Active
Address
LEBANON PA 17042
palicensing.org
ID 37894681
LAST UPDATED 2024-03-01 02:02:44 UTC
LAST UPDATED 2024-03-01 02:02:44 UTC
This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.