ASHLEY N DERBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362536

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

DERBY

Business Name

ASHLEY N DERBY

Original Issue Date

08/16/2007

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2014