Pennsylvania
Department of State
DALE WAYNE DERBY
Registered Nurse Temporary Permit
License number
RN008203Y
Date granted
10/15/1998
Date expires
10/31/1999
Class
Registered Nurse Temporary Permit
Status
Inactive
Address
FAIRMONT WV 26554
palicensing.org
ID 16911063
LAST UPDATED 2024-05-05 17:15:43 UTC
LAST UPDATED 2024-05-05 17:15:43 UTC
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