DIANE MARIE JELLISON - Registered Nurse License in Missouri | # 041146186

DIANE MARIE JELLISON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146186

License Status

INACTIVE

Business

N

First Name

DIANE MARIE

Last Name

JELLISON

Business Name

DIANE MARIE JELLISON

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006