License holder summary

MISTY D BLACK is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for MISTY D BLACK is Shippensburg PA 17257. This licensed professional license is not current. The license was granted 03/21/2001 and expired on 12/31/2001.

Pennsylvania

Department of State

MISTY D BLACK
Graduate Practical Nurse Permit
License number
PN004600Y
Date granted
03/21/2001
Date expires
12/31/2001
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Shippensburg PA 17257
palicensing.org
ID 16744396
LAST UPDATED 2024-04-09 12:41:07 UTC

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