DIANE KAY INTRAVARTOLO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041148272

License Status

INACTIVE

Business

First Name

DIANE KAY

Last Name

INTRAVARTOLO

Business Name

DIANE KAY INTRAVARTOLO

Original Issue Date

04/16/1973

Effective Date

04/21/2020

Expiration Date

08/31/2022

City

DUNFERMLINE

State

Zip

61524

County

FULTON

Ever Disciplined

LastModifiedDate

05/02/2022