BRUCE M DERRICKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103217

License Status

NOT RENEWED

Business

First Name

BRUCE M

Last Name

DERRICKSON

Business Name

BRUCE M DERRICKSON

Original Issue Date

06/06/1962

Effective Date

06/06/1962

Expiration Date

05/31/1986

City

COLD WATER

State

Zip

49036

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006