IDA ELISE BROADWATER
Certified Registered Nurse Practitioner
Pennsylvania SP013545 Active
This Pennsylvania license is held by IDA ELISE BROADWATER. The license is currently active. It was granted on 12/13/2013 and expired on 10/31/2016
LICENSE DETAILS
- License Number: SP013545
- Category: Certified Registered Nurse Practitioner
- Status: Active
- Date Granted: 12/13/2013 (over 10 years ago)
- Expiry Date: 10/31/2016 (over 7 years ago)
LOCATIONS
A Address
Philadelphia PA 19134
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