DEREK RANDALL RICE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115935

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

RANDALL

Last Name

RICE

Business Name

DEREK RANDALL RICE

Original Issue Date

10/19/2012

Effective Date

01/07/2013

Expiration Date

01/31/2015

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

03/09/2015