Pennsylvania
Department of State
TARA L DEA
Certified Registered Nurse Practitioner
License number
SP009251
Date granted
11/17/2006
Date expires
04/30/2018
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Blackwood NJ 08012
palicensing.org
ID 16673688
LAST UPDATED 2024-02-17 10:09:16 UTC
LAST UPDATED 2024-02-17 10:09:16 UTC
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