Pennsylvania
Department of State
DERRAE KING FORNITO
Practical Nurse Temporary Permit
License number
TLPN002416
Date granted
11/18/2002
Date expires
11/18/2003
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Woodbury NJ 08096
palicensing.org
ID 16884212
LAST UPDATED 2024-03-12 09:50:09 UTC
LAST UPDATED 2024-03-12 09:50:09 UTC
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