Person Information

Name:NOEL EILEEN MEDEIROS

Address Information

Address(city state zipcode):Philadelphia PA19103

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006029
Profession:NursingStatus:Agreement Terminated
Issue Date:1/30/2007Expires:4/30/2010Last Renewed:2/25/2008

Prerequisite Information

Licensee:MEDEIROS, NOEL EILEENRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP009271Status:Active
Date of Association:Date of Expiration:

Licensee:POLL, DAVID STANLEYRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD026553EStatus:Active
Date of Association:1/30/2007Date of Expiration:6/1/2008

License CSR Information

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

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