Person Information

Name:LISA CUNNINGHAM KELLER

Address Information

Address(city state zipcode):Lansdale PA19446-1660

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005818
Profession:NursingStatus:Agreement Terminated
Issue Date:11/21/2006Expires:10/31/2013Last Renewed:8/17/2011

Prerequisite Information

Licensee:JUNOD, JOHN BERNARDRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD040084EStatus:Active
Date of Association:11/21/2006Date of Expiration:5/4/2012

Licensee:KELLER, LISA CUNNINGHAMRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP009116Status:Active
Date of Association:Date of Expiration:

License CSR Information

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

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