DERETHA M OMIOTEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041295669

License Status

NOT RENEWED

Business

First Name

DERETHA M

Last Name

OMIOTEK

Business Name

DERETHA M OMIOTEK

Original Issue Date

03/09/1996

Effective Date

04/12/2016

Expiration Date

05/31/2018

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/19/2018