DIANA LYN LOGAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147112

License Status

INACTIVE

Business

First Name

DIANA LYN

Last Name

LOGAN

Business Name

DIANA LYN LOGAN

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/27/2006