Pennsylvania
Department of State
CONNIE WIGGINS MICKULICZ
Practical Nurse
License number
PN101738L
Date granted
12/16/1991
Date expires
06/30/2012
Class
Practical Nurse
Status
Expired
Address
DAISYTOWN PA 15427
palicensing.org
ID 37855781
LAST UPDATED 2026-05-12 07:11:28 UTC
LAST UPDATED 2026-05-12 07:11:28 UTC
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