Person Information

Name:MARY MCCOURT CWIERTNIEWICZ

Address Information

Address(city state zipcode):BROOKHAVEN PA19015

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Adult Renal MetabolicNumber:TP002160R
Profession:NursingStatus:InactiveDate This Status:11/12/2002
Issue Date:9/29/1993Expires:10/31/2002Last Renewed:11/20/2000

Prerequisite Information

Licensee:CWIERTNIEWICZ, MARYRelationship:Self Automatic
Type:Registered NurseNumber:RN155544LStatus:Active
Date of Association:Date of Expiration:

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