GRACE K FORTUNA - Registered Nurse License in Pennsylvania | # 041349507

GRACE K FORTUNA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349507

License Status

NOT RENEWED

Business

N

First Name

GRACE

Middle

K

Last Name

FORTUNA

Business Name

GRACE K FORTUNA

Original Issue Date

10/07/2005

Effective Date

04/12/2018

Expiration Date

09/30/2020

State

PA

Ever Disciplined

N

LastModifiedDate

01/14/2021