Person Information

Name:DIANE BOCCHINFUSO MAROLDA

Address Information

Address(city state zipcode):OSSENING NY10562

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Adult Critical CareNumber:TP003550U
Profession:NursingStatus:InactiveDate This Status:8/14/2000
Issue Date:9/29/1995Expires:10/31/2000Last Renewed:9/8/1998

Prerequisite Information

Licensee:MAROLDA, DIANE BOCCHINFUSORelationship:Self Automatic
Type:Registered NurseNumber:RN334681LStatus:Inactive
Date of Association:Date of Expiration:

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