LOURDES B DERIQUITO - Registered Nurse License in New Jersey | # 041174308

LOURDES B DERIQUITO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174308

License Status

NOT RENEWED

Business

N

First Name

LOURDES B

Last Name

DERIQUITO

Business Name

LOURDES B DERIQUITO

Original Issue Date

08/05/1977

Effective Date

08/05/1977

State

NJ

Ever Disciplined

N

LastModifiedDate

09/27/2006