Person Information

Name:KIMBERLY A PRATT

Address Information

Address(city state zipcode):NARVON PA17555

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005981
Profession:NursingStatus:Agreement Terminated
Issue Date:1/16/2007Expires:10/31/2008Last Renewed:

Prerequisite Information

Licensee:PRATT, KIMBERLY ARelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008994Status:Active
Date of Association:Date of Expiration:

Licensee:WAGNER, MARK ELLIOTRelationship:Collaborating Physician
Type:Osteopathic Physician and SurgeonNumber:OS005358LStatus:Active
Date of Association:1/16/2007Date of Expiration:6/19/2008

License CSR Information

Drug Schedule 2:YDrug Schedule 3:YDrug Schedule 4:YDrug Schedule 5:

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