SUSAN DERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217822

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

DERRY

Business Name

SUSAN DERRY

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006