License holder summary

THEDA BLACK is a Practical Nurse licensed to practice in Pennsylvania. The address on file for THEDA BLACK is CLARION PA 16214. This licensed professional license is not current. The license was granted 01/23/1968 and expired on 06/30/1982.

Pennsylvania

Department of State

THEDA BLACK
Practical Nurse
License number
PN040011L
Date granted
01/23/1968
Date expires
06/30/1982
Class
Practical Nurse
Status
Expired
Address
CLARION PA 16214
palicensing.org
ID 37784216
LAST UPDATED 2024-04-12 01:03:56 UTC

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