Person Information

Name:TARA ANN MAYNOR

Address Information

Address(city state zipcode):Baltimore MD21224

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005421
Profession:NursingStatus:Inactive
Issue Date:8/3/2006Expires:10/31/2006Last Renewed:

Prerequisite Information

Licensee:MAYNOR, TARA ANNRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP009071Status:Active
Date of Association:Date of Expiration:

Licensee:SMITH, STAFFORD MICHAELRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD040434LStatus:Active
Date of Association:8/3/2006Date of Expiration:

License CSR Information

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

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