Person Information

Name:ELENA C CASANOVA-GHOSH

Address Information

Address(city state zipcode):Philadelphia PA19103

License Information

Type:Prescriptive AuthoritySecondary Type:Number:006072
Profession:NursingStatus:Active
Issue Date:2/7/2007Expires:10/31/2017Last Renewed:10/8/2015

Prerequisite Information

Licensee:CASANOVA-GHOSH, ELENA CRelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:VP006089PStatus:Active
Date of Association:Date of Expiration:

Licensee:SAMUELS, LOUIS EDWARDRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD044544EStatus:Active
Date of Association:2/7/2007Date of Expiration:

License CSR Information

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

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