ANN M DERRICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217815

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

DERRICK

Business Name

ANN M DERRICK

Original Issue Date

11/08/1983

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025