License holder summary

DETRA DIANE MCKENZIE is a Practical Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for DETRA DIANE MCKENZIE is Philadelphia PA 19149. This licensed professional license is not current. The license was granted 10/04/2005 and expired on 10/04/2006.

Pennsylvania

Department of State

DETRA DIANE MCKENZIE
Practical Nurse Temporary Permit
License number
TLPN003586
Date granted
10/04/2005
Date expires
10/04/2006
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Philadelphia PA 19149
palicensing.org
ID 16885228
LAST UPDATED 2024-03-06 23:55:51 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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