Person Information

Name:MARIAM SALAHOU

Address Information

Address(city state zipcode):Newark NJ07103

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005691
Profession:NursingStatus:Agreement Terminated
Issue Date:10/24/2006Expires:10/31/2014Last Renewed:8/3/2012

Prerequisite Information

Licensee:PARKS, DONALD BRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD023038EStatus:Active
Date of Association:10/24/2006Date of Expiration:9/15/2014

Licensee:SALAHOU, MARIAMRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008704Status: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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