Person Information

Name:STACEY LYN WYNER

Address Information

Address(city state zipcode):Hamden CT06517

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006621
Profession:NursingStatus:Expired
Issue Date:6/25/2007Expires:4/30/2008Last Renewed:

Prerequisite Information

Licensee:MISHER-HARRIS, MICHELERelationship:Collaborating Physician
Type:Osteopathic Physician and SurgeonNumber:OS006948LStatus:Active
Date of Association:6/25/2007Date of Expiration:

Licensee:WYNER, STACEY LYNRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP009441Status:Expired
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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