Person Information

Name:DIANE M GARDNER

Address Information

Address(city state zipcode):PITTSBURGH PA15235

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006423
Profession:NursingStatus:Agreement Terminated
Issue Date:5/9/2007Expires:4/30/2012Last Renewed:4/21/2010

Prerequisite Information

Licensee:GARDNER, DIANE MRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP003831BStatus:Active
Date of Association:Date of Expiration:

Licensee:ROODMAN, GARSON DAVIDRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD073272LStatus:Inactive
Date of Association:5/9/2007Date of Expiration:11/14/2011

License CSR Information

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

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