Person Information

Name:STEPHANIE MARIE MATLOCK

Address Information

Address(city state zipcode):ERIE PA16509

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005807
Profession:NursingStatus:Agreement Terminated
Issue Date:11/16/2006Expires:4/30/2009Last Renewed:4/2/2007

Prerequisite Information

Licensee:MASCIA, KIMBERLY NADINERelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD424096Status:Active
Date of Association:11/16/2006Date of Expiration:9/1/2008

Licensee:MATLOCK, STEPHANIE MARIERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:UP006969BStatus:Active
Date of Association:Date of Expiration:

License CSR Information

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

Comments


search At least 3 letters.