Pennsylvania
Department of State
TRACY ANNE SOUTHALL
Registered Nurse Temporary Permit
License number
RN005570Y
Date granted
10/03/1996
Date expires
10/31/1997
Class
Registered Nurse Temporary Permit
Status
Inactive
Address
CHERRY HILL NJ 08003
palicensing.org
ID 16908459
LAST UPDATED 2024-05-07 21:08:18 UTC
LAST UPDATED 2024-05-07 21:08:18 UTC
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