DIANE B PANKOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104910

License Status

INACTIVE

Business

First Name

DIANE B

Last Name

PANKOW

Business Name

DIANE B PANKOW

Original Issue Date

12/18/1962

Effective Date

12/18/1962

Expiration Date

05/31/2000

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006