License holder summary

DEREK C LISH is a Nurse - Aprn Crna Without Pp licensed to practice in Utah. The address on file for DEREK C LISH is BRIGHAM CITY, UT 84302. This licensed professional license is current. The license was granted 08/08/2011 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

DEREK C LISH
Nurse - Aprn Crna Without Pp
License number
5192366-4406
Date granted
08/08/2011
Date expires
01/31/2016
Class
Nurse - Aprn Crna Without Pp
Status
Active
Address
BRIGHAM CITY, UT 84302
utahlicensing.org
ID 29795034
LAST UPDATED 2024-03-25 08:47:28 UTC

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