DIANE DAHL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144378

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

DAHL

Business Name

DIANE DAHL

Original Issue Date

09/28/1972

Effective Date

09/28/1972

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006