Person Information

Name:PATRICIA L GREEN

Address Information

Address(city state zipcode):WILLIAMSPORT PA17701

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Obstetric/GynecologyNumber:UP001620G
Profession:NursingStatus:ActiveDate This Status:
Issue Date:2/27/1990Expires:4/30/2017Last Renewed:3/24/2015

Prerequisite Information

Licensee:GREEN, PATRICIA LRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:001102Status:Active
Date of Association:Date of Expiration:

Licensee:GREEN, PATRICIA LRelationship:Self Automatic
Type:Registered NurseNumber:RN232858LStatus:Active
Date of Association:Date of Expiration:

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