DIANE FAIR PERKINS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174390

License Status

NOT RENEWED

Business

First Name

DIANE FAIR

Last Name

PERKINS

Business Name

DIANE FAIR PERKINS

Original Issue Date

08/05/1977

Effective Date

08/05/1977

City

CHAMPAIGN

State

Zip

61820

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/27/2006