Pennsylvania
Department of State
JUANITA BLAKE
Practical Nurse
License number
PN023905L
Date granted
12/26/1962
Date expires
06/30/1974
Class
Practical Nurse
Status
Expired
Address
PHILADELPHIA PA 19131
palicensing.org
ID 37782971
LAST UPDATED 2026-05-26 01:10:14 UTC
LAST UPDATED 2026-05-26 01:10:14 UTC
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