Pennsylvania
Department of State
Illis A Rivera
Practical Nurse
License number
PN297796
Date granted
06/30/2014
Date expires
06/30/2016
Class
Practical Nurse
Status
Active
Address
Ephrata PA 17522
palicensing.org
ID 37877870
LAST UPDATED 2026-04-02 10:18:49 UTC
LAST UPDATED 2026-04-02 10:18:49 UTC
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