Person Information

Name:JOANN COLDREN DETWEILER

Address Information

Address(city state zipcode):Mohnton PA19540

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006357
Profession:NursingStatus:Active
Issue Date:4/24/2007Expires:4/30/2017Last Renewed:3/17/2015

Prerequisite Information

Licensee:DETWEILER, JOANN COLDRENRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:UP004580CStatus:Active
Date of Association:Date of Expiration:

Licensee:ROST, CHARLES RICHARDRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD030935EStatus:Active
Date of Association:4/24/2007Date of Expiration:

License CSR Information

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

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