DERICK M JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362589

License Status

NOT RENEWED

Business

First Name

DERICK

Middle

Last Name

JOHNSON

Business Name

DERICK M JOHNSON

Original Issue Date

08/17/2007

Effective Date

04/13/2010

Expiration Date

05/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012