Pennsylvania
Department of State
JEAN ANN FORNWALT
Graduate Practical Nurse Permit
License number
TGPN018606
Date granted
08/28/2008
Date expires
08/31/2009
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Curryville PA 16631
palicensing.org
ID 37712748
LAST UPDATED 2026-05-25 19:55:15 UTC
LAST UPDATED 2026-05-25 19:55:15 UTC
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