Jennifer Roselee Derrick
ExpiredCalifornia license 638217
License
- Licensed by
- California Board of Registered Nursing
- License number
- 638217
- Status
- Expired (Delinquent)
- First issued
- June 7, 2004
- Expired
- September 30, 2011
- License holder
- Jennifer Roselee Derrick
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12113 Hartford Ave.
Orofino, ID 83544
Orofino, ID 83544
Clearwater County