DONNA JANE DERSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348538

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

JANE

Last Name

DERSE

Business Name

DONNA JANE DERSE

Original Issue Date

09/01/2005

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

GREENFIELD

State

Zip

53221

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012