Person Information

Name:BEVERLY STCLAIR ANDERSON

Address Information

Address(city state zipcode):Ligonier PA15658

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Obstetric/GynecologyNumber:VP000607G
Profession:NursingStatus:InactiveDate This Status:10/18/2013
Issue Date:3/31/1982Expires:10/31/2013Last Renewed:7/20/2011

Prerequisite Information

Licensee:ANDERSON, BEVERLY STCLAIRRelationship:Self Automatic
Type:Registered NurseNumber:RN183880LStatus:Inactive
Date of Association:Date of Expiration:

Comments


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