Person Information

Name:REGINA HAGGERTY PIDICH

Address Information

Address(city state zipcode):CLARKS SUMMIT PA18411

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005376
Profession:NursingStatus:Agreement Terminated
Issue Date:7/18/2006Expires:9/22/2006Last Renewed:

Prerequisite Information

Licensee:GILHOOLEY, NANCY MRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD050600LStatus:Active
Date of Association:7/18/2006Date of Expiration:9/22/2006

Licensee:PIDICH, REGINA HAGGERTYRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:TP002122BStatus:Active
Date of Association:Date of Expiration:

License CSR Information

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

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