Maine
Office of Professional and Occupational Regulation
ELIZABETH ANNE DERHAK
Nursing - Licensed Practical Nurse
License number
LPN12298
Date granted
10/25/2004
Date expires
08/08/2015
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
57 BLUFF HOUSE RD, GOULDSBORO, ME 04607-4126
mainelicensing.org
ID 21231616
LAST UPDATED 2026-04-24 20:16:24 UTC
LAST UPDATED 2026-04-24 20:16:24 UTC
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