License holder summary

KIMBERLY A FANTAZIER is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for KIMBERLY A FANTAZIER is DUNMORE PA 18509. This licensed professional license is not current. The license was granted 06/07/2001 and expired on 06/30/2002.

Pennsylvania

Department of State

KIMBERLY A FANTAZIER
Graduate Practical Nurse Permit
License number
PN004018Y
Date granted
06/07/2001
Date expires
06/30/2002
Class
Graduate Practical Nurse Permit
Status
Voided
Address
DUNMORE PA 18509
palicensing.org
ID 16733155
LAST UPDATED 2024-02-21 07:09:45 UTC

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