Pennsylvania
Department of State
EVA JUNE FORNWALT
Practical Nurse
License number
PN001281L
Date expires
06/30/1986
Class
Practical Nurse
Status
Inactive
Address
JOHNSTOWN PA 15902
palicensing.org
ID 16874772
LAST UPDATED 2026-05-18 02:21:27 UTC
LAST UPDATED 2026-05-18 02:21:27 UTC
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