MICHELLE LEA ANTANOVICH
Nursing - Prescriptive Authority
Pennsylvania 005657 Expired
This Pennsylvania license was held by MICHELLE LEA ANTANOVICH. The license is no longer active. It was granted on 10/13/2006 and expired on 04/30/2012
LICENSE DETAILS
- License Number: 005657
- Category: Prescriptive Authority
- Status: Expired
- Date Granted: 10/13/2006 (over 18 years ago)
- Expiry Date: 04/30/2012 (about 13 years ago)
LOCATIONS
A Address
Fredericktown PA 15333