DAWN MICHELLE DERRICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005842

License Status

NOT RENEWED

Business

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

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010