DIANE LYNN PORTER SIAROFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144690

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Middle

PORTER

Last Name

SIAROFF

Business Name

DIANE LYNN PORTER SIAROFF

Original Issue Date

09/29/1972

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/19/2018