DAWN MICHELLE DERRICK - Advanced Practice Nurse License in Illinois | # 209005842

DAWN MICHELLE DERRICK

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005842

License Status

NOT RENEWED

Business

N

First Name

DAWN

Middle

MICHELLE

Last Name

DERRICK

Business Name

DAWN MICHELLE DERRICK

Original Issue Date

12/14/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/11/2010