Person Information

Name:REGINA DANGELIS POOLE

Address Information

Address(city state zipcode):GLEN MILLS PA19342

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005969
Profession:NursingStatus:Active
Issue Date:1/12/2007Expires:10/31/2016Last Renewed:8/19/2014

Prerequisite Information

Licensee:POOLE, REGINA DANGELISRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:TP003624QStatus:Active
Date of Association:Date of Expiration:

Licensee:ROUSH, ROBERT KENNETH, JRRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD036281EStatus:Active
Date of Association:1/12/2007Date of Expiration:

License CSR Information

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

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