DIANA MIXON - Registered Nurse License in Idaho | # 041144379

DIANA MIXON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144379

License Status

NOT RENEWED

Business

N

First Name

DIANA

Last Name

MIXON

Business Name

DIANA MIXON

Original Issue Date

09/28/1972

Effective Date

05/14/2012

Expiration Date

05/31/2014

State

ID

Ever Disciplined

N

LastModifiedDate

07/03/2014