DAVID EDWARD DECLUE - Registered Nurse License in New York | # 041198588

DAVID EDWARD DECLUE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041198588

License Status

NOT RENEWED

Business

N

First Name

DAVID EDWARD

Last Name

DECLUE

Business Name

DAVID EDWARD DECLUE

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1988

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006