Pennsylvania
Department of State
MARY THERESA BAZIK
Practical Nurse
License number
PN066125L
Date granted
05/26/1977
Date expires
06/30/1996
Class
Practical Nurse
Status
Expired
Address
OLD FORGE PA 18518
palicensing.org
ID 37786176
LAST UPDATED 2026-04-21 03:55:50 UTC
LAST UPDATED 2026-04-21 03:55:50 UTC
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