Pennsylvania
Department of State
IDA ELISE BROADWATER
Certified Registered Nurse Practitioner
License number
SP013545
Date granted
12/13/2013
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Philadelphia PA 19134
palicensing.org
ID 37701958
LAST UPDATED 2024-05-17 05:20:46 UTC
LAST UPDATED 2024-05-17 05:20:46 UTC
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