License holder summary

LISA MAE BLACK is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for LISA MAE BLACK is SHIPPENSBURG PA 17257. This licensed professional license is not current. The license was granted 08/01/1995 and expired on 08/31/1996.

Pennsylvania

Department of State

LISA MAE BLACK
Graduate Practical Nurse Permit
License number
PN007303Y
Date granted
08/01/1995
Date expires
08/31/1996
Class
Graduate Practical Nurse Permit
Status
Inactive
Address
SHIPPENSBURG PA 17257
palicensing.org
ID 16810381
LAST UPDATED 2024-05-24 12:50:21 UTC

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