PHILLIP T DETURK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007500

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

DETURK

Business Name

PHILLIP T DETURK

Original Issue Date

02/25/2009

Effective Date

03/26/2010

Expiration Date

05/31/2012

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012