Person Information

Name:BARBARA MARIE JACOBSON

Address Information

Address(city state zipcode):Schwenksville PA19473

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006548
Profession:NursingStatus:Expired
Issue Date:6/8/2007Expires:4/30/2013Last Renewed:3/11/2011

Prerequisite Information

Licensee:JACOBSON, BARBARA MARIERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008129Status:Active
Date of Association:Date of Expiration:

Licensee:MOYER, PAUL RRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD010643EStatus:Active - Retired
Date of Association:6/8/2007Date of Expiration:

License CSR Information

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

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