DEREK J STORCK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016175

License Status

ACTIVE

Business

First Name

DEREK

Middle

Last Name

STORCK

Business Name

DEREK J STORCK

Original Issue Date

07/14/2017

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

SAINT PETER

State

Zip

62880

County

FAYETTE

Ever Disciplined

LastModifiedDate

03/23/2026