DONNA M DERBAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041197788

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

DERBAS

Business Name

DONNA M DERBAS

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/2002

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

1996002219

Action

Probation

Discipline Start Date

12/23/1996

Discipline End Date

12/22/1999

Discipline Reason

Taking blank prescription forms, and forging and filling prescriptions for Tylenol for personal use.