MICHELLE LEA ANTANOVICH
Nursing - Prescriptive Authority
Pennsylvania 015044 Expired
This Pennsylvania license was held by MICHELLE LEA ANTANOVICH. The license is no longer active. It was granted on 03/02/2012 and expired on 04/30/2016
LICENSE DETAILS
- License Number: 015044
- Category: Prescriptive Authority
- Status: Expired
- Date Granted: 03/02/2012 (about 13 years ago)
- Expiry Date: 04/30/2016 (about 9 years ago)
LOCATIONS
A Address
Fredericktown PA 15333