Person Information

Name:MADELINE FULCHER MATTERN

Address Information

Address(city state zipcode):HOWARD PA16841

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006179
Profession:NursingStatus:Expired
Issue Date:3/9/2007Expires:4/30/2015Last Renewed:3/28/2013

Prerequisite Information

Licensee:BATES, MARK ANDREWRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD039902LStatus:Active
Date of Association:3/9/2007Date of Expiration:

Licensee:MATTERN, MADELINE FULCHERRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP007526Status:Active
Date of Association:Date of Expiration:

License CSR Information

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

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