DIANE A BANSBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120755

License Status

NOT RENEWED

Business

First Name

DIANE A

Last Name

BANSBERG

Business Name

DIANE A BANSBERG

Original Issue Date

03/13/1967

Effective Date

03/13/1967

Expiration Date

05/31/1990

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006