License holder summary

BRIAN R FULTZ is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for BRIAN R FULTZ is BELLEVILLE, PA 17004. This licensed professional license is not current. The license was granted 10/16/2004 and expired on 09/14/2005.

Pennsylvania

Department of State

BRIAN R FULTZ
Graduate Practical Nurse Permit
License number
TGPN012287
Date granted
10/16/2004
Date expires
09/14/2005
Class
Graduate Practical Nurse Permit
Status
Voided
Address
BELLEVILLE, PA 17004
palicensing.org
ID 37712535
LAST UPDATED 2024-02-25 13:33:37 UTC

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