Person Information

Name:EVANGELINE FORONDA BRAGITIKOS

Address Information

Address(city state zipcode):WYNDMOOR PA19038

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:GerontologyNumber:VP005982H
Profession:NursingStatus:InactiveDate This Status:9/28/2012
Issue Date:9/2/1999Expires:10/31/2009Last Renewed:8/6/2007

Prerequisite Information

Licensee:BRAGITIKOS, EVANGELINE FORONDARelationship:Self Automatic
Type:Registered NurseNumber:RN323191LStatus:Active
Date of Association:Date of Expiration:

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