DIANE L JENSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132656

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

JENSEN

Business Name

DIANE L JENSEN

Original Issue Date

09/16/1969

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

MAROA

State

Zip

61756

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014