Person Information

Name:DITTY MAE JANKAUSKAS

Address Information

Address(city state zipcode):WESTVILLE NJ08093

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005972
Profession:NursingStatus:Agreement Terminated
Issue Date:1/12/2007Expires:10/31/2007Last Renewed:

Prerequisite Information

Licensee:JANKAUSKAS, DITTY MAERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:VP004003JStatus:Active
Date of Association:Date of Expiration:

Licensee:PETERSIDE, IYALLA ELVISRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD067897LStatus:Active
Date of Association:1/12/2007Date of Expiration:7/2/2007

License CSR Information

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

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