PATRICIA J DERRICOTT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075653

License Status

INACTIVE

Business

First Name

PATRICIA J

Last Name

DERRICOTT

Business Name

PATRICIA J DERRICOTT

Original Issue Date

09/03/1953

Effective Date

09/03/1953

Expiration Date

05/31/1996

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006