CONNIE L DERBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309358

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

DERBY

Business Name

CONNIE L DERBY

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

05/31/2006

City

LEWISTON

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

10/09/2006