Pennsylvania
Department of State
LARISSA ANN JACKLINE
Certified Registered Nurse Practitioner
License number
SP014869
Date granted
03/17/2015
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Creighton PA 15030
palicensing.org
ID 37704184
LAST UPDATED 2024-04-14 00:43:05 UTC
LAST UPDATED 2024-04-14 00:43:05 UTC
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