License holder summary

DEANA M FANTOM is a Registered Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for DEANA M FANTOM is PHILA PA 19115. This licensed professional license is not current. The license was granted 11/16/1998 and expired on 11/30/1999.

Pennsylvania

Department of State

DEANA M FANTOM
Registered Nurse Temporary Permit
License number
RN002511Y
Date granted
11/16/1998
Date expires
11/30/1999
Class
Registered Nurse Temporary Permit
Status
Inactive
Address
PHILA PA 19115
palicensing.org
ID 16905427
LAST UPDATED 2024-02-06 01:40:53 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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