RN/IC/P/10C Bureau of Prisons - NYM Page

Jeffrey Edward

Prisons - NYM Page 1

Bureau of Prisons Health Services

Z04

Insulin Reg

TAB

Vascepa

Smallpox Series History Unknown Orig Entered:

Magnesia Susp

Cap

DDS

CAP

NYM

EDWARD Reg

MCC Begin Date

Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Add

Measles/Mumps/Rubella Series History Unknown Orig Entered

Physical Limitation/Restriction

Bureau of Prisms NYM Page 1

Date Administered Location osmium

Bureau of Prisons Health Services Medical Duty Status Reg

Bureau of Prisons Health Services Immunizations Begin Date