License holder summary

TRACEY MARIE SHIVOK-JEFFERSON is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for TRACEY MARIE SHIVOK-JEFFERSON is Bethlehem PA 18017. This licensed professional license is current. The license was granted 03/11/2011 and expired on 10/31/2017.

Pennsylvania

Department of State

TRACEY MARIE SHIVOK-JEFFERSON
Certified Registered Nurse Practitioner
License number
SP011299
Date granted
03/11/2011
Date expires
10/31/2017
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Bethlehem PA 18017
palicensing.org
ID 37706754
LAST UPDATED 2024-04-06 17:16:23 UTC

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