License holder summary

STACEY Y MARTIN is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for STACEY Y MARTIN is Willow Street PA 17584. This licensed professional license is not current. The license was granted 08/27/2002 and expired on 08/31/2003.

Pennsylvania

Department of State

STACEY Y MARTIN
Graduate Practical Nurse Permit
License number
TGPN008881
Date granted
08/27/2002
Date expires
08/31/2003
Class
Graduate Practical Nurse Permit
Status
Voided
Address
Willow Street PA 17584
palicensing.org
ID 37717307
LAST UPDATED 2024-03-14 08:52:39 UTC

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