DIANNE LEA SELBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196552

License Status

NOT RENEWED

Business

First Name

DIANNE LEA

Last Name

SELBY

Business Name

DIANNE LEA SELBY

Original Issue Date

09/15/1980

Effective Date

09/15/1980

Expiration Date

05/31/1986

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006