Person Information

Name:MARYKAY BAUER WEGMAN

Address Information

Address(city state zipcode):Orange CT06477

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Family HealthNumber:VP006124B
Profession:NursingStatus:InactiveDate This Status:11/20/2009
Issue Date:9/15/1999Expires:10/31/2009Last Renewed:9/12/2007

Prerequisite Information

Licensee:WEGMAN, MARYKAY BAUERRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:60Status:Agreement Terminated
Date of Association:Date of Expiration:

Licensee:WEGMAN, MARYKAY BAUERRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:674Status:Agreement Terminated
Date of Association:Date of Expiration:

Licensee:WEGMAN, MARYKAY BAUERRelationship:Self Automatic
Type:Registered NurseNumber:RN509646LStatus:Expired
Date of Association:Date of Expiration:

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