MARY ANN WITCZAK - Registered Nurse License in Pennsylvania | # 043010460

MARY ANN WITCZAK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010460

License Status

INACTIVE

Business

N

First Name

MARY ANN

Last Name

WITCZAK

Business Name

MARY ANN WITCZAK

Original Issue Date

04/02/1962

Effective Date

12/06/2004

Expiration Date

01/31/2005

State

PA

Ever Disciplined

N

LastModifiedDate

10/15/2005