DERRICK J WOLF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023068

License Status

ACTIVE

Business

First Name

DERRICK

Middle

Last Name

WOLF

Business Name

DERRICK J WOLF

Original Issue Date

03/23/2021

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

KINCAID

State

Zip

62540

County

CHRISTIAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026