Richard Allen Derhake
ExpiredCalifornia license 95067924
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95067924
- Status
- Expired (Delinquent)
- First issued
- August 3, 2015
- Expired
- April 30, 2025
- License holder
- Richard Allen Derhake
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
8824 Argyle Ave
Saint Louis, MO 63114-4902
Saint Louis, MO 63114-4902
St. Louis County