DIANE J FOWLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180927

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

FOWLER

Business Name

DIANE J FOWLER

Original Issue Date

05/08/1978

Effective Date

05/20/2020

Expiration Date

08/31/2022

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

01/26/2023