License holder summary

IVA LEE MELLOTT is a Practical Nurse licensed to practice in Pennsylvania. The address on file for IVA LEE MELLOTT is ST THOMAS PA 17252. This licensed professional license is not current. The license was granted 12/06/1972 and expired on 06/30/2002.

Pennsylvania

Department of State

IVA LEE MELLOTT
Practical Nurse
License number
PN051649L
Date granted
12/06/1972
Date expires
06/30/2002
Class
Practical Nurse
Status
Inactive
Address
ST THOMAS PA 17252
palicensing.org
ID 37851353
LAST UPDATED 2024-05-30 08:02:31 UTC

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