Pennsylvania
Department of State
DIANE RUSSELL WALLACE
Practical Nurse Temporary Permit
License number
TLPN002433
Date granted
12/02/2002
Date expires
12/02/2003
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Glen Rock PA 17327
palicensing.org
ID 16884230
LAST UPDATED 2026-04-26 20:59:29 UTC
LAST UPDATED 2026-04-26 20:59:29 UTC
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