CATHY JANE CONRA MALL - Registered Nurse License in Pennsylvania | # 041154463

CATHY JANE CONRA MALL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154463

License Status

NOT RENEWED

Business

N

First Name

CATHY JANE CONRA

Last Name

MALL

Business Name

CATHY JANE CONRA MALL

Original Issue Date

04/24/1974

Effective Date

04/24/1974

Expiration Date

05/31/2002

State

PA

Ever Disciplined

N

LastModifiedDate

10/09/2006