Person Information

Name:KERRY C WILLIS

Address Information

Address(city state zipcode):Conyngham PA18219

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006337
Profession:NursingStatus:Expired
Issue Date:4/18/2007Expires:10/31/2010Last Renewed:10/14/2008

Prerequisite Information

Licensee:WERHUN, ANTHONY THOMASRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD032026EStatus:Active
Date of Association:4/18/2007Date of Expiration:

Licensee:WILLIS, KERRY CRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:TP007004BStatus: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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