DEREK O PLOTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041381036

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

PLOTZ

Business Name

DEREK O PLOTZ

Original Issue Date

12/03/2009

Effective Date

06/15/2020

Expiration Date

08/31/2022

City

WAUNAKEE

State

Zip

53597

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022