Person Information

Name:LUCRETIA L COLQUITT

Address Information

Address(city state zipcode):PHILADELPHIA PA19119

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006638
Profession:NursingStatus:Agreement Terminated
Issue Date:6/27/2007Expires:4/30/2009Last Renewed:

Prerequisite Information

Licensee:COLQUITT, LUCRETIA LRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP007410Status:Active
Date of Association:Date of Expiration:

Licensee:DATNER, ELIZABETH MELLONRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD055593LStatus:Active
Date of Association:6/27/2007Date of Expiration:2/1/2008

License CSR Information

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

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