License holder summary

TINA FORNWALT TIENE is a Practical Nurse licensed to practice in Pennsylvania. The address on file for TINA FORNWALT TIENE is LEBANON PA 17042. This licensed professional license is current. The license was granted 12/12/1989 and expired on 06/30/2016.

Pennsylvania

Department of State

TINA FORNWALT TIENE
Practical Nurse
License number
PN097681L
Date granted
12/12/1989
Date expires
06/30/2016
Class
Practical Nurse
Status
Active
Address
LEBANON PA 17042
palicensing.org
ID 37894681
LAST UPDATED 2026-04-16 23:35:20 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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