License holder summary

LISA MARIE DEROSE is a Practical Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for LISA MARIE DEROSE is WATERFORD PA 16441. This licensed professional license is not current. The license was granted 10/29/1997 and expired on 10/31/1998.

Pennsylvania

Department of State

LISA MARIE DEROSE
Practical Nurse Temporary Permit
License number
PN000511Y
Date granted
10/29/1997
Date expires
10/31/1998
Class
Practical Nurse Temporary Permit
Status
Inactive
Address
WATERFORD PA 16441
palicensing.org
ID 16882333
LAST UPDATED 2024-03-11 20:01:32 UTC

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