NameSHELLEY LYNN PORVASNIK
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
MA-C.00041-R Medication Aide Certified - Residential 09/06/2007 05/01/2010 04/30/2012 INACTIVE
PN.145477-M-IV Licensed Practical Nurse - M-IV 08/15/2011 06/26/2014 08/31/2016 ACTIVE Examination

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