CAROL J DERBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085415

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

DERBY

Business Name

CAROL J DERBY

Original Issue Date

10/03/2000

Effective Date

01/10/2005

Expiration Date

01/31/2007

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

03/16/2007