Pennsylvania
Department of State
TOM N TIDBALL
Practical Nurse Temporary Permit
License number
TLPN003136
Date granted
12/03/2004
Date expires
12/03/2005
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Lawrenceville NJ 08648
palicensing.org
ID 16884812
LAST UPDATED 2026-06-17 19:37:06 UTC
LAST UPDATED 2026-06-17 19:37:06 UTC
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