Pennsylvania
Department of State
DEBRA WERTZ FORKER
Certified Registered Nurse Practitioner
License number
TP004584C
Date granted
08/27/1997
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
HARRISBURG PA 17112
palicensing.org
ID 16668881
LAST UPDATED 2024-04-30 17:30:57 UTC
LAST UPDATED 2024-04-30 17:30:57 UTC
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