DIANE CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101338

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

CARLSON

Business Name

DIANE CARLSON

Original Issue Date

12/27/1961

Effective Date

12/27/1961

Expiration Date

05/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/11/2008