EDIZA D DERECHO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459114

License Status

NOT RENEWED

Business

First Name

EDIZA

Middle

Last Name

DERECHO

Business Name

EDIZA D DERECHO

Original Issue Date

10/11/2017

Effective Date

08/08/2022

Expiration Date

06/30/2024

City

ELMHURST NEW YORK 11

State

Zip

11373

Ever Disciplined

LastModifiedDate

02/05/2025