Person Information

Name:CURTISS PENN SMITH HANNUM

Address Information

Address(city state zipcode):Philadelphia PA19147

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006320
Profession:NursingStatus:Expired
Issue Date:4/12/2007Expires:4/30/2015Last Renewed:4/5/2013

Prerequisite Information

Licensee:HANNUM, CURTISS PENN SMITHRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP007687Status:Active
Date of Association:Date of Expiration:

Licensee:IDDENDEN, DAVID ANTONYRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD038624LStatus:Active
Date of Association:4/12/2007Date of Expiration:

License CSR Information

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

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