Person Information

Name:GINA MARIE GAZDAK

Address Information

Address(city state zipcode):JAMESTOWN NY14701

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005810
Profession:NursingStatus:Expired
Issue Date:11/16/2006Expires:10/31/2010Last Renewed:10/9/2008

Prerequisite Information

Licensee:ENDRES, JAY EVANRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD039470LStatus:Active
Date of Association:11/16/2006Date of Expiration:

Licensee:GAZDAK, GINA MARIERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP007801Status:Active
Date of Association:Date of Expiration:

License CSR Information

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

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