License holder summary

MICHELLE LEA ANTANOVICH is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for MICHELLE LEA ANTANOVICH is Fredericktown PA 15333. This licensed professional license is current. The license was granted 09/15/1999 and expired on 04/30/2018.

Pennsylvania

Department of State

MICHELLE LEA ANTANOVICH
Certified Registered Nurse Practitioner
License number
SP006096B
Date granted
09/15/1999
Date expires
04/30/2018
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Fredericktown PA 15333
palicensing.org
ID 16673264
LAST UPDATED 2024-04-27 17:42:36 UTC

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