Person Information

Name:STACEY LEE OHARA

Address Information

Address(city state zipcode):Ardmore PA19003

License Information

Type:Prescriptive AuthoritySecondary Type:Number:005295
Profession:NursingStatus:Agreement Terminated
Issue Date:6/16/2006Expires:4/30/2012Last Renewed:4/12/2010

Prerequisite Information

Licensee:BEZWADA, HARI PRASADRelationship:Collaborating Physician
Type:Medical Physician and SurgeonNumber:MD060488LStatus:Expired
Date of Association:6/16/2006Date of Expiration:1/1/2011

Licensee:OHARA, STACEY LEERelationship:Prescriptive Authority
Type:Certified Registered Nurse PractitionerNumber:SP008865Status:Active
Date of Association:Date of Expiration:

License CSR Information

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

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