DEREK HICKENBOTTOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041472201

License Status

NOT RENEWED

Business

First Name

DEREK

Last Name

HICKENBOTTOM

Business Name

DEREK HICKENBOTTOM

Original Issue Date

11/05/2018

Effective Date

11/05/2018

Expiration Date

09/30/2020

City

SAN DIEGO

State

Zip

92103

Ever Disciplined

LastModifiedDate

01/14/2021