License holder summary

LARISSA ANN JACKLINE is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for LARISSA ANN JACKLINE is Creighton PA 15030. This licensed professional license is current. The license was granted 03/17/2015 and expired on 10/31/2016.

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

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