DIANE M MONDORF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149242

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

MONDORF

Business Name

DIANE M MONDORF

Original Issue Date

07/16/1973

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/16/2016