DERRICK T GRONDIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041416083

License Status

NOT RENEWED

Business

First Name

DERRICK

Middle

Last Name

GRONDIN

Business Name

DERRICK T GRONDIN

Original Issue Date

10/29/2013

Effective Date

04/02/2020

Expiration Date

08/31/2022

City

POWERS

State

Zip

49874

Ever Disciplined

LastModifiedDate

10/14/2022