Pennsylvania
Department of State
LORI ANN BANSE-FAY
Certified Registered Nurse Practitioner
License number
SP015603
Date granted
11/03/2015
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Dallas TX 75225
palicensing.org
ID 37702051
LAST UPDATED 2026-04-10 16:22:53 UTC
LAST UPDATED 2026-04-10 16:22:53 UTC
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