Person Information

Name:THERESA MYERS

Address Information

Address(city state zipcode):NEWBURG PA17240

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006401
Profession:NursingStatus:Agreement Terminated
Issue Date:5/3/2007Expires:4/30/2011Last Renewed:1/28/2009

Prerequisite Information

Licensee:HIEB, LOUIS ALANRelationship:Collaborating Physician
Type:Osteopathic Physician and SurgeonNumber:OS013276Status:Inactive
Date of Association:Date of Expiration:4/1/2011

Licensee:MYERS, THERESARelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:UP006241BStatus:Active
Date of Association:5/3/2007Date of Expiration:

License CSR Information

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

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