DOUGLAS KENT DICKINSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175248

License Status

NOT RENEWED

Business

First Name

DOUGLAS KENT

Last Name

DICKINSON

Business Name

DOUGLAS KENT DICKINSON

Original Issue Date

10/12/1977

Effective Date

08/16/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/08/2025