Pennsylvania
Department of State
GARY L BLACKBURN
Practical Nurse Temporary Permit
License number
PN001165Y
Date granted
12/01/1997
Date expires
12/31/1998
Class
Practical Nurse Temporary Permit
Status
Inactive
Address
KITTANNING PA 16201
palicensing.org
ID 16882976
LAST UPDATED 2026-04-30 21:30:42 UTC
LAST UPDATED 2026-04-30 21:30:42 UTC
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