License holder summary

MARY DIANA PORTALATIN is a Temporary Respiratory Therapist licensed to practice in Pennsylvania. The address on file for MARY DIANA PORTALATIN is Reading PA 19601. This licensed professional license is not current. The license was granted 05/15/2014 and expired on 05/15/2015.

Pennsylvania

Department of State

MARY DIANA PORTALATIN
Temporary Respiratory Therapist
License number
TYM009511
Date granted
05/15/2014
Date expires
05/15/2015
Class
Temporary Respiratory Therapist
Status
Voided
Address
Reading PA 19601
palicensing.org
ID 19174781
LAST UPDATED 2024-02-07 10:24:32 UTC

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