Person Information

Name:STACEY OBRIEN EADIE

Address Information

Address(city state zipcode):West Chester PA19380

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006646
Profession:NursingStatus:Inactive
Issue Date:7/2/2007Expires:4/30/2012Last Renewed:4/28/2010

Prerequisite Information

Licensee:EADIE, STACEY OBRIENRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP006103BStatus:Active
Date of Association:Date of Expiration:

Licensee:LELE, PRAMOD SADASHIVRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD030355EStatus:Active
Date of Association:7/2/2007Date of Expiration:

License CSR Information

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

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