LOURDES B DERIQUITO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174308

License Status

NOT RENEWED

Business

First Name

LOURDES B

Last Name

DERIQUITO

Business Name

LOURDES B DERIQUITO

Original Issue Date

08/05/1977

Effective Date

08/05/1977

City

NEWARK

State

Zip

07102

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/27/2006