Person Information

Name:EMILY SISCO HAVRILLA

Address Information

Address(city state zipcode):MOUNTAINTOP PA18707

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Adult HealthNumber:TP005685C
Profession:NursingStatus:ActiveDate This Status:11/1/2004
Issue Date:5/26/1999Expires:10/31/2016Last Renewed:11/5/2014

Prerequisite Information

Licensee:HAVRILLA, EMILY SISCORelationship:Self Automatic
Type:Registered NurseNumber:RN257749LStatus:Active
Date of Association:Date of Expiration:

Comments


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