Pennsylvania
Department of State
HEIDI JO ROTH
Graduate Practical Nurse Permit
License number
TGPN012661
Date granted
12/21/2004
Date expires
12/31/2005
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Columbia PA 17512
palicensing.org
ID 37720408
LAST UPDATED 2026-06-06 07:36:36 UTC
LAST UPDATED 2026-06-06 07:36:36 UTC
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