DIANE J PEVONKA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041092401

License Status

INACTIVE

Business

First Name

DIANE J

Last Name

PEVONKA

Business Name

DIANE J PEVONKA

Original Issue Date

12/31/1958

Effective Date

12/31/1958

Expiration Date

05/31/1996

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006