DIANNE M LASAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128298

License Status

INACTIVE

Business

First Name

DIANNE M

Last Name

LASAK

Business Name

DIANNE M LASAK

Original Issue Date

10/04/1968

Effective Date

03/29/2012

Expiration Date

05/31/2014

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

03/29/2012