DIANE L RUSSELL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001430

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

RUSSELL

Business Name

DIANE L RUSSELL

Original Issue Date

09/11/1986

Expiration Date

08/15/1987

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/31/2005