Person Information

Name:ANA RAQUEL MAITIN

Address Information

Address(city state zipcode):Philadelphia PA19118

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005467
Profession:NursingStatus:Expired
Issue Date:8/22/2006Expires:4/30/2007Last Renewed:

Prerequisite Information

Licensee:AMEXO, KWAKURelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD056047LStatus:Active
Date of Association:8/22/2006Date of Expiration:

Licensee:MAITIN, ANA RAQUELRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:UP006237BStatus: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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