KATHY L DERRICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011668

License Status

ACTIVE

Business

First Name

KATHY

Middle

Last Name

DERRICK

Business Name

KATHY L DERRICK

Original Issue Date

07/28/2014

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

GOLD CANYON

State

Zip

85118

Ever Disciplined

LastModifiedDate

03/03/2026