DAPHNE DERECHO FULDA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312370

License Status

INACTIVE

Business

First Name

DAPHNE

Middle

DERECHO

Last Name

FULDA

Business Name

DAPHNE DERECHO FULDA

Original Issue Date

11/09/1998

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2022