Person Information

Name:MARY K DOLLARD

Address Information

Address(city state zipcode):PHILADELPHIA PA19125

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006402
Profession:NursingStatus:Active
Issue Date:5/3/2007Expires:4/30/2017Last Renewed:4/20/2015

Prerequisite Information

Licensee:DOLLARD, MARY KRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008642Status:Active
Date of Association:Date of Expiration:

Licensee:FOWLER, WILLIAM PATRICKRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD028029EStatus:Active
Date of Association:5/3/2007Date of Expiration:

License CSR Information

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

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