Professional Records
License Records
Diane Gail Dericks
License #:
773 - Expired
Category:
Nursing Support
Issued Date:
Jun 3, 1988
Effective Date:
Jun 30, 1999
Expiration Date:
Jun 3, 1991
Type:
Care Staff Member
Diane Gail Dericks
License #:
50908 - Active
Category:
Nursing
Issued Date:
Jun 20, 1995
Effective Date:
Jun 20, 1995
Expiration Date:
Oct 31, 2018
Type:
Registered Nurse
