License holder summary

IDA STREET is a Practical Nurse licensed to practice in Pennsylvania. The address on file for IDA STREET is EMIGSVILLE PA 17318.

Pennsylvania

Department of State

IDA STREET
Practical Nurse
License number
PN000611L
Date expires
06/30/1986
Class
Practical Nurse
Status
Inactive
Address
EMIGSVILLE PA 17318
palicensing.org
ID 37881620
LAST UPDATED 2024-03-26 06:29:23 UTC

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