NameMOLLY ANN FORTUNA
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.407875-MEDS Practical Nurse w/MEDS- Temporary Work Permit 10/12/2005 10/12/2005 04/12/2006 CLOSED
PN.121752-MEDS Licensed Practical Nurse - MEDS 03/03/2006 06/30/2014 08/31/2016 ACTIVE Endorsement

Comments


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