DIANE L SANDBERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158576

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

SANDBERG

Business Name

DIANE L SANDBERG

Original Issue Date

12/12/1974

Effective Date

12/12/1974

Expiration Date

05/31/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006