Person Information

Name:ADRIANE C STASURAK

Address Information

Address(city state zipcode):MACUNGIEPA18062

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006433
Profession:NursingStatus:Active
Issue Date:5/14/2007Expires:10/31/2017Last Renewed:8/11/2015

Prerequisite Information

Licensee:KITEI, SUSAN COMERRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD032592EStatus:Active
Date of Association:5/14/2007Date of Expiration:

Licensee:STASURAK, ADRIANE CRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:VP006755CStatus: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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