Pennsylvania
Department of State
AMY REVELL REQUA
Certified Registered Nurse Practitioner
License number
UP006336D
Date granted
05/11/2000
Date expires
04/30/2017
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Lansdowne PA 19050
palicensing.org
ID 16673120
LAST UPDATED 2024-04-01 02:00:14 UTC
LAST UPDATED 2024-04-01 02:00:14 UTC
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