License holder summary

MIRIAM FONTANILLA is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for MIRIAM FONTANILLA is CHERRY-HILL NJ 08034. This licensed professional license is not current. The license was granted 10/28/2002 and expired on 04/30/2009.

Pennsylvania

Department of State

MIRIAM FONTANILLA
Certified Registered Nurse Practitioner
License number
SP007570
Date granted
10/28/2002
Date expires
04/30/2009
Class
Certified Registered Nurse Practitioner
Status
Inactive
Address
CHERRY-HILL NJ 08034
palicensing.org
ID 16668520
LAST UPDATED 2024-05-23 15:09:30 UTC

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