Person Information

Name:KATHLEEN CLARK JESIOLOWSKI

Address Information

Address(city state zipcode):LEBANON PA17046

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Family HealthNumber:TP006006B
Profession:NursingStatus:ActiveDate This Status:
Issue Date:9/2/1999Expires:10/31/2016Last Renewed:8/9/2014

Prerequisite Information

Licensee:JESIOLOWSKI, KATHLEEN CLARKRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:102Status:Expired
Date of Association:Date of Expiration:

Licensee:JESIOLOWSKI, KATHLEEN CLARKRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:122Status:Expired
Date of Association:Date of Expiration:

Licensee:JESIOLOWSKI, KATHLEEN CLARKRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:023301Status:Active
Date of Association:Date of Expiration:

Licensee:JESIOLOWSKI, KATHLEEN CLARKRelationship:Self Automatic
Type:Registered NurseNumber:RN167837LStatus:Active
Date of Association:Date of Expiration:

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