Pennsylvania
Department of State
KEITH C ROTH
Graduate Practical Nurse Permit
License number
TGPN009048
Date granted
09/17/2002
Date expires
08/31/2003
Class
Graduate Practical Nurse Permit
Status
Voided
Address
NORTH EAST, PA 16428
palicensing.org
ID 37720263
LAST UPDATED 2024-05-05 22:06:22 UTC
LAST UPDATED 2024-05-05 22:06:22 UTC
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