CONNIE L DERBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037857

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

DERBY

Business Name

CONNIE L DERBY

Original Issue Date

10/17/1975

Expiration Date

01/31/1999

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

05/27/2005