Pennsylvania
Department of State
BROOKE M MICKSHAW
Graduate Practical Nurse Permit
License number
TGPN015715
Date granted
09/12/2006
Date expires
08/31/2007
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Orwigsburg PA 17961
palicensing.org
ID 37717850
LAST UPDATED 2024-04-16 17:39:43 UTC
LAST UPDATED 2024-04-16 17:39:43 UTC
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