DIANA L FERGUSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136909

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

FERGUSON

Business Name

DIANA L FERGUSON

Original Issue Date

10/06/1970

Effective Date

03/24/2010

Expiration Date

05/31/2012

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012