NameEILEEN MARIE SIROIS
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.00013-NM Certified Nurse MidWife 06/09/1997 06/02/2015 08/31/2017 ACTIVE
CTP.00013- Prescriptive Authority 02/20/2002 06/02/2015 08/31/2017 ACTIVE
CTP.00013-EX2 Prescriptive Authority - Externship Extension 02/20/2003 02/20/2003 02/20/2004 CLOSED
CTP.00013-EX1 Prescriptive Authority - Externship 02/20/2002 02/20/2002 02/20/2003 CLOSED
RN.206882-1 Registered Nurse-1 Certificate of Authority 11/28/1986 06/02/2015 08/31/2017 ACTIVE Endorsement

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