DIANE LYNN BOLEN - Registered Nurse License in Illinois | # 043030020

DIANE LYNN BOLEN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030020

License Status

INACTIVE

Business

N

First Name

DIANE LYNN

Last Name

BOLEN

Business Name

DIANE LYNN BOLEN

Original Issue Date

12/15/1971

Effective Date

12/07/2012

Expiration Date

01/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

11/07/2014