DIANE B FISH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131513

License Status

INACTIVE

Business

First Name

DIANE B

Last Name

FISH

Business Name

DIANE B FISH

Original Issue Date

08/26/1969

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2020