Person Information

Name:LISA A BRENNER

Address Information

Address(city state zipcode):Ardmore PA19003

License Information

Type:Volunteer CRNPSecondary Type:Number:GS000035
Profession:NursingStatus:Expired
Issue Date:7/28/2014Expires:10/31/2015Last Renewed:

Prerequisite Information

Licensee:BRENNER, LISA ARelationship:Self Automatic
Type:Certified Registered Nurse PractitionerNumber:SP013753Status:Active
Date of Association:Date of Expiration:

Comments


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