MARIVIC M DIAZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337821

License Status

NOT RENEWED

Business

First Name

MARIVIC

Middle

Last Name

DIAZ

Business Name

MARIVIC M DIAZ

Original Issue Date

10/09/2003

Effective Date

04/07/2014

Expiration Date

05/31/2016

City

HONOLULU

State

Zip

96819

County

HAWAII

Ever Disciplined

LastModifiedDate

07/11/2016