Person Information

Name:HEATHER A SUGARMAN

Address Information

Address(city state zipcode):Hazleton PA18201

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006731
Profession:NursingStatus:Expired
Issue Date:7/24/2007Expires:4/30/2010Last Renewed:2/13/2008

Prerequisite Information

Licensee:SUGARMAN, HEATHER ARelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008332Status:Active
Date of Association:Date of Expiration:

Licensee:VALENTE, ANTHONYRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD042324LStatus:Active
Date of Association:7/24/2007Date of Expiration:

License CSR Information

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

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