License holder summary

STACIE L BLACK is a Graduate Practical Nurse Permit licensed to practice in Pennsylvania. The address on file for STACIE L BLACK is CAMBRIDGE SPRIN PA 16403. This licensed professional license is not current. The license was granted 06/21/2000 and expired on 03/23/2001.

Pennsylvania

Department of State

STACIE L BLACK
Graduate Practical Nurse Permit
License number
PN003746Y
Date granted
06/21/2000
Date expires
03/23/2001
Class
Graduate Practical Nurse Permit
Status
Voided
Address
CAMBRIDGE SPRIN PA 16403
palicensing.org
ID 16728350
LAST UPDATED 2024-04-12 16:19:42 UTC

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