DERRAE KING FORNITO
Practical Nurse Temporary Permit
Pennsylvania TLPN002416 Voided
This Pennsylvania license was held by DERRAE KING FORNITO. The license is no longer active. It was granted on 11/18/2002 and expired on 11/18/2003
LICENSE DETAILS
- License Number: TLPN002416
- Category: Practical Nurse Temporary Permit
- Status: Voided
- Date Granted: 11/18/2002 (over 22 years ago)
- Expiry Date: 11/18/2003 (over 21 years ago)
LOCATIONS
A Address
Woodbury NJ 08096