License holder summary

Carole Anne Derucki is a Nursing Board - Csr Prescriptive Authority licensed to practice in Indiana. The address on file for Carole Anne Derucki is South Bend Neurology, 611 E. Douglas Road Suite# 305, Mishawaka IN 46545. This nurse license is current. The license was granted 08/25/2008 and expired on 10/31/2015.

Indiana

State Board of Nursing

Carole Anne Derucki
Nursing Board - Csr Prescriptive Authority
License number
71002723B
Date granted
08/25/2008
Date expires
10/31/2015
Class
Nursing Board - Csr Prescriptive Authority
Status
Active
Address
South Bend Neurology, 611 E. Douglas Road Suite# 305, Mishawaka IN 46545
nursingindiana.org
ID 6438090
LAST UPDATED 2024-04-26 16:47:12 UTC

This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.

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