SANDRA M DERBY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119411

License Status

INACTIVE

Business

First Name

SANDRA M

Last Name

DERBY

Business Name

SANDRA M DERBY

Original Issue Date

11/07/1966

Effective Date

11/07/1966

Expiration Date

05/31/2006

City

GERMAN VALLEY

State

Zip

61039

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006