DIANE L WISE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186909

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

WISE

Business Name

DIANE L WISE

Original Issue Date

02/20/1979

Effective Date

02/20/1979

Expiration Date

05/31/1994

City

MOUNTAIN HOME AFB

State

Zip

83648

County

IDAHO

Ever Disciplined

LastModifiedDate

09/27/2006