Pennsylvania
Department of State
FONDA R MOFFETT
Practical Nurse Temporary Permit
License number
TLPN003682
Date granted
12/29/2005
Date expires
12/29/2006
Class
Practical Nurse Temporary Permit
Status
Voided
Address
East Liverpool OH 43920
palicensing.org
ID 16885319
LAST UPDATED 2026-04-21 12:46:49 UTC
LAST UPDATED 2026-04-21 12:46:49 UTC
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