License holder summary

BONITA M MACK is a Practical Nurse licensed to practice in Pennsylvania. The address on file for BONITA M MACK is PORT TREVORTON PA 17864. This licensed professional license is not current. The license was granted 01/15/1975 and expired on 06/30/2004.

Pennsylvania

Department of State

BONITA M MACK
Practical Nurse
License number
PN058756L
Date granted
01/15/1975
Date expires
06/30/2004
Class
Practical Nurse
Status
Inactive
Address
PORT TREVORTON PA 17864
palicensing.org
ID 37852018
LAST UPDATED 2024-02-10 22:47:47 UTC

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