BRAD M DERSHEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041353955

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

DERSHEM

Business Name

BRAD M DERSHEM

Original Issue Date

07/27/2006

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

BOSTON

State

Zip

02118

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014