License holder summary

NICOLE LYNN BLACK is a Temporary Respiratory Therapist licensed to practice in Pennsylvania. The address on file for NICOLE LYNN BLACK is NEW WILMINGTON PA 16142. This licensed professional license is not current. The license was granted 06/30/1995 and expired on 06/29/1996.

Pennsylvania

Department of State

NICOLE LYNN BLACK
Temporary Respiratory Therapist
License number
YM004684L
Date granted
06/30/1995
Date expires
06/29/1996
Class
Temporary Respiratory Therapist
Status
Inactive
Address
NEW WILMINGTON PA 16142
palicensing.org
ID 16656302
LAST UPDATED 2024-04-11 22:03:44 UTC

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