DIANA L ILLIES - Registered Nurse License in Minnesota | # 041145077

DIANA L ILLIES

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145077

License Status

INACTIVE

Business

N

First Name

DIANA L

Last Name

ILLIES

Business Name

DIANA L ILLIES

Original Issue Date

09/28/1972

Effective Date

09/28/1972

State

MN

Ever Disciplined

N

LastModifiedDate

09/27/2006