DIANE L MALYCHA - Registered Nurse License in Wisconsin | # 043070867

DIANE L MALYCHA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070867

License Status

INACTIVE

Business

N

First Name

DIANE

Middle

L

Last Name

MALYCHA

Business Name

DIANE L MALYCHA

Original Issue Date

01/16/1992

Effective Date

06/26/2007

Expiration Date

01/31/2009

State

WI

Ever Disciplined

N

LastModifiedDate

11/10/2008