IDA ELISE BROADWATER
Nursing - Prescriptive Authority
Pennsylvania 019622 Active
This Pennsylvania license is held by IDA ELISE BROADWATER. The license is currently active. It was granted on 01/23/2014 and expired on 10/31/2016
LICENSE DETAILS
- License Number: 019622
- Category: Prescriptive Authority
- Status: Active
- Date Granted: 01/23/2014 (over 10 years ago)
- Expiry Date: 10/31/2016 (over 7 years ago)
LOCATIONS
A Address
Philadelphia PA 19134
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