DEREK A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090751

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

GREEN

Business Name

DEREK A GREEN

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

01/31/2007

City

LUGOFF

State

Zip

29078

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

03/16/2007