Pennsylvania
Department of State
ELIZABETH ELLEN IDE
Medicine - Athletic Trainer
License number
RT000172A
Date granted
11/09/1987
Date expires
12/31/1990
Class
Medicine - Athletic Trainer
Status
Expired
Address
LAKELAND FL 33803
palicensing.org
ID 16620679
LAST UPDATED 2024-02-28 00:33:20 UTC
LAST UPDATED 2024-02-28 00:33:20 UTC
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