DAVID EDWARD DECLUE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041198588

License Status

NOT RENEWED

Business

First Name

DAVID EDWARD

Last Name

DECLUE

Business Name

DAVID EDWARD DECLUE

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1988

City

CORNWALL

State

Zip

12518

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006