NameAUNDREA L DERICK-KEIM
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.409226-MEDS Practical Nurse w/MEDS- Temporary Work Permit 09/10/2012 09/10/2012 03/10/2013 CLOSED
PN.151050-MEDS Licensed Practical Nurse - MEDS 11/01/2012 06/30/2014 08/31/2016 ACTIVE Endorsement

Comments


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