License holder summary

NICOLE MARIE DESTEFANO is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for NICOLE MARIE DESTEFANO is Indianapolis IN 46237. This licensed professional license is current. The license was granted 09/08/2005 and expired on 12/31/2014.

Pennsylvania

Department of State

NICOLE MARIE DESTEFANO
Medicine - Athletic Trainer
License number
RT003808
Date granted
09/08/2005
Date expires
12/31/2014
Class
Medicine - Athletic Trainer
Status
Active
Address
Indianapolis IN 46237
palicensing.org
ID 16618582
LAST UPDATED 2024-04-30 08:48:52 UTC

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