TWILA J DERHAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041255763

License Status

NOT RENEWED

Business

First Name

TWILA J

Last Name

DERHAKE

Business Name

TWILA J DERHAKE

Original Issue Date

11/08/1989

Effective Date

04/19/2012

Expiration Date

05/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/03/2014