License holder summary

MA INEZ AMPARO AGENCILLO AMBATA is a Practical Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for MA INEZ AMPARO AGENCILLO AMBATA is Baltimore MD 21224. This licensed professional license is not current. The license was granted 12/07/2004 and expired on 12/07/2005.

Pennsylvania

Department of State

MA INEZ AMPARO AGENCILLO AMBATA
Practical Nurse Temporary Permit
License number
TLPN003187
Date granted
12/07/2004
Date expires
12/07/2005
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Baltimore MD 21224
palicensing.org
ID 16884856
LAST UPDATED 2024-05-10 23:42:26 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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