DEREK JASON SISK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427592

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

JASON

Last Name

SISK

Business Name

DEREK JASON SISK

Original Issue Date

02/17/2015

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

01/14/2021