ANDREW ROBERT DERBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511054

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

ROBERT

Last Name

DERBY

Business Name

ANDREW ROBERT DERBY

Original Issue Date

07/07/2021

Effective Date

07/07/2021

Expiration Date

08/31/2022

City

DUQUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

10/14/2022