DIANA L MOODY - Registered Nurse License in Indiana | # 043081646

DIANA L MOODY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081646

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

L

Last Name

MOODY

Business Name

DIANA L MOODY

Original Issue Date

11/05/1997

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

10/15/2005