Person Information

Name:DANIELLE NICOLE WHYTAL

Address Information

Address(city state zipcode):Boynton Beach FL33426

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006047
Profession:NursingStatus:Agreement Terminated
Issue Date:2/2/2007Expires:4/30/2012Last Renewed:4/23/2010

Prerequisite Information

Licensee:PETERSIDE, IYALLA ELVISRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD067897LStatus:Active
Date of Association:2/2/2007Date of Expiration:3/7/2012

Licensee:WHYTAL, DANIELLE NICOLERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008668Status:Inactive
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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