Person Information

Name:CAROL LEE LIVELLI

Address Information

Address(city state zipcode):Philadelphia PA19103

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005641
Profession:NursingStatus:Agreement Terminated
Issue Date:10/13/2006Expires:10/31/2007Last Renewed:

Prerequisite Information

Licensee:LIN, RICHARD JOHNRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD056770LStatus:Active
Date of Association:10/13/2006Date of Expiration:4/2/2007

Licensee:LIVELLI, CAROL LEERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP009084Status:Inactive
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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