Person Information

Name:LORRAINE M SMITH

Address Information

Address(city state zipcode):SKIPPACK PA19474

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006151
Profession:NursingStatus:Agreement Terminated
Issue Date:3/1/2007Expires:4/30/2017Last Renewed:3/11/2015

Prerequisite Information

Licensee:BLOOMGARDEN, RAPHAEL TRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD027044EStatus:Active
Date of Association:3/1/2007Date of Expiration:7/30/2015

Licensee:SMITH, LORRAINE MRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:UP005401BStatus:Active
Date of Association:Date of Expiration:

License CSR Information

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

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