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 2026-05-03 01:55:18 UTC
LAST UPDATED 2026-05-03 01:55:18 UTC
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