Lori M Pantazes

Name

Lori M Pantazes

Year of birth

1980

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Lori M Pantazes

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: NURSE/NURSES AIDE

Address: 111 EAST 6TH STREET

City: TRINIDAD

State: CO

Zip code: 81082

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2013-10-20


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