DORATHEA M FACKLAM - Registered Nurse License in Pennsylvania | # 041089598

DORATHEA M FACKLAM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089598

License Status

NOT RENEWED

Business

N

First Name

DORATHEA M

Last Name

FACKLAM

Business Name

DORATHEA M FACKLAM

Original Issue Date

04/01/1958

Effective Date

04/01/1958

State

PA

Ever Disciplined

N

LastModifiedDate

09/27/2006