Person Information

Name:AMY B COLLI

Address Information

Address(city state zipcode):Chambersburg PA17201

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005656
Profession:NursingStatus:Agreement Terminated
Issue Date:10/13/2006Expires:10/31/2016Last Renewed:10/15/2014

Prerequisite Information

Licensee:COLLI, AMY BRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP007357Status:Active
Date of Association:Date of Expiration:

Licensee:HALL, MARY JORelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD419110Status:Active
Date of Association:10/13/2006Date of Expiration:3/16/2015

License CSR Information

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

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