License holder summary

DERRAE KING FORNITO is a Practical Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for DERRAE KING FORNITO is Woodbury NJ 08096. This licensed professional license is not current. The license was granted 11/18/2002 and expired on 11/18/2003.

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

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