License holder summary

AMY REVELL REQUA is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for AMY REVELL REQUA is Lansdowne PA 19050. This licensed professional license is current. The license was granted 05/11/2000 and expired on 04/30/2017.

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

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