DIANNA G BLACKKETTER - Registered Nurse License in Illinois | # 041273226

DIANNA G BLACKKETTER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041273226

License Status

NOT RENEWED

Business

N

First Name

DIANNA G

Last Name

BLACKKETTER

Business Name

DIANNA G BLACKKETTER

Original Issue Date

04/06/1993

Effective Date

05/03/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2012