DIANE SUSAN FOX Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146574

License Status

INACTIVE

Business

First Name

DIANE SUSAN

Last Name

FOX

Business Name

DIANE SUSAN FOX

Original Issue Date

11/02/1972

Effective Date

11/02/1972

City

ASHKUM

State

Zip

60911

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/27/2006