Pennsylvania
Department of State
TRAVIS JON BACKENSTOE
Graduate Registered Nurse Permit
License number
TGRN044682
Date granted
12/27/2006
Date expires
12/31/2007
Class
Graduate Registered Nurse Permit
Status
Voided
Address
Walnutport PA 18088-9196
palicensing.org
ID 37728988
LAST UPDATED 2024-04-17 13:06:24 UTC
LAST UPDATED 2024-04-17 13:06:24 UTC
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