Pennsylvania
Department of State
LEEORE ANN FORTH
Practical Nurse Temporary Permit
License number
TLPN006319
Date granted
04/21/2011
Date expires
04/21/2012
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Hanover PA 17331
palicensing.org
ID 16888111
LAST UPDATED 2024-03-04 00:15:49 UTC
LAST UPDATED 2024-03-04 00:15:49 UTC
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