Pennsylvania
Department of State
MICHAEL ALLEN PRUIKSMA
Nursing Home Administrator
License number
NH004514L
Date granted
02/15/1996
Date expires
06/30/2004
Class
Nursing Home Administrator
Status
Expired
Address
Virginia Beach VA 23452
palicensing.org
ID 16916846
LAST UPDATED 2024-04-09 16:32:59 UTC
LAST UPDATED 2024-04-09 16:32:59 UTC
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