Pennsylvania
Department of State
JAY EDWARD FOTLAND
Certified Registered Nurse Practitioner
License number
SP011690
Date granted
10/17/2011
Date expires
04/30/2014
Class
Certified Registered Nurse Practitioner
Status
Expired
Address
LA CROSSE WI 54601
palicensing.org
ID 37703131
LAST UPDATED 2024-04-08 10:45:23 UTC
LAST UPDATED 2024-04-08 10:45:23 UTC
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