License holder summary

MARY BOUTON WILSON is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for MARY BOUTON WILSON is ENDWELL NY 13760. This licensed professional license is not current. The license was granted 04/28/1980 and expired on 10/31/2004.

Pennsylvania

Department of State

MARY BOUTON WILSON
Certified Registered Nurse Practitioner
License number
TP000337B
Date granted
04/28/1980
Date expires
10/31/2004
Class
Certified Registered Nurse Practitioner
Status
Inactive
Address
ENDWELL NY 13760
palicensing.org
ID 16675137
LAST UPDATED 2024-03-25 21:55:03 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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