DIANE DERUDDER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140825

License Status

INACTIVE

Business

First Name

DIANE

Last Name

DERUDDER

Business Name

DIANE DERUDDER

Original Issue Date

09/29/1971

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/08/2020