Person Information

Name:KIMBERLY WERNER OTTO

Address Information

Address(city state zipcode):Lehighton PA18235

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005572
Profession:NursingStatus:Expired
Issue Date:9/22/2006Expires:4/30/2009Last Renewed:5/10/2007

Prerequisite Information

Licensee:CARROLL, LESLIE FRANCESRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD041783LStatus:Inactive
Date of Association:9/22/2006Date of Expiration:

Licensee:OTTO, KIMBERLY WERNERRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:UP002038DStatus:Active
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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