DEBRA A DERRICK - Registered Nurse License in Indiana | # 043086669

DEBRA A DERRICK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086669

License Status

NOT RENEWED

Business

N

First Name

DEBRA

Middle

A

Last Name

DERRICK

Business Name

DEBRA A DERRICK

Original Issue Date

10/23/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005