Pennsylvania
Department of State
TARA ELLEN FAVATA
Graduate Registered Nurse Permit
License number
TGRN034239
Date granted
09/02/2004
Date expires
08/31/2005
Class
Graduate Registered Nurse Permit
Status
Voided
Address
Kingston PA 18704
palicensing.org
ID 37739124
LAST UPDATED 2026-05-22 12:59:33 UTC
LAST UPDATED 2026-05-22 12:59:33 UTC
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