JUANITA BLAKE
Practical Nurse
Pennsylvania PN023905L Expired
This Pennsylvania license was held by JUANITA BLAKE. The license is no longer active. It was granted on 12/26/1962 and expired on 06/30/1974
LICENSE DETAILS
- License Number: PN023905L
- Category: Practical Nurse
- Status: Expired
- Date Granted: 12/26/1962 (over 63 years ago)
- Expiry Date: 06/30/1974 (about 52 years ago)
LOCATIONS
A Address
PHILADELPHIA PA 19131