Person Information

Name:BRENDA GAYLE PETRELLA

Address Information

Address(city state zipcode):MIDLAND PA15059

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006333
Profession:NursingStatus:Expired
Issue Date:4/16/2007Expires:4/30/2008Last Renewed:

Prerequisite Information

Licensee:LUELLEN, JOHN RUSSELLRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD065589LStatus:Active
Date of Association:4/16/2007Date of Expiration:

Licensee:PETRELLA, BRENDA GAYLERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP004384BStatus:Expired
Date of Association:Date of Expiration:

License CSR Information

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

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