Pennsylvania
Department of State
CHANCE N BACKERT
Practical Nurse Temporary Permit
License number
TLPN002979
Date granted
08/16/2004
Date expires
08/16/2005
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Glen Rock PA 17327
palicensing.org
ID 16884670
LAST UPDATED 2024-04-19 01:34:25 UTC
LAST UPDATED 2024-04-19 01:34:25 UTC
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