Pennsylvania
Department of State
MARJORIE LARSEN BANTA
Practical Nurse
License number
PN150446L
Date granted
10/10/1995
Date expires
06/30/2010
Class
Practical Nurse
Status
Expired
Address
Jim Thorpe PA 18229
palicensing.org
ID 37789525
LAST UPDATED 2024-04-23 12:08:01 UTC
LAST UPDATED 2024-04-23 12:08:01 UTC
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