NameIRENE OKTIFANI BISARI
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.409480-MEDS Practical Nurse w/MEDS- Temporary Work Permit 06/23/2014 06/23/2014 12/23/2014 CLOSED
PN.156672-MEDS Licensed Practical Nurse - MEDS 07/11/2014 07/11/2014 08/31/2016 ACTIVE Endorsement

Comments


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