DIANA M BOGART Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105213

License Status

INACTIVE

Business

First Name

DIANA M

Last Name

BOGART

Business Name

DIANA M BOGART

Original Issue Date

12/18/1962

Effective Date

12/18/1962

Expiration Date

05/31/2006

City

KIRKWOOD

State

Zip

61447

County

WARREN

Ever Disciplined

LastModifiedDate

10/09/2006