Pennsylvania
Department of State
JACQUELINE EILEEN BLAKE
Graduate Practical Nurse Permit
License number
TGPN016995
Date granted
08/21/2007
Date expires
08/31/2008
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Montoursville PA 17754
palicensing.org
ID 37709412
LAST UPDATED 2024-05-26 10:54:12 UTC
LAST UPDATED 2024-05-26 10:54:12 UTC
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