DIANA R BONACQUISTI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149289

License Status

NOT RENEWED

Business

First Name

DIANA R

Last Name

BONACQUISTI

Business Name

DIANA R BONACQUISTI

Original Issue Date

07/16/1973

Effective Date

07/16/1973

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008