Person Information

Name:JEAN MARGARET WILDAUER

Address Information

Address(city state zipcode):LEBANON PA17042

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006606
Profession:NursingStatus:Agreement Terminated
Issue Date:6/22/2007Expires:4/30/2008Last Renewed:

Prerequisite Information

Licensee:ROBEL, DAVID KAWIKARelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD421606Status:Active
Date of Association:6/22/2007Date of Expiration:6/29/2007

Licensee:WILDAUER, JEAN MARGARETRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP006245CStatus:Active
Date of Association:Date of Expiration:

License CSR Information

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

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