DIANE K SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210366

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

SMITH

Business Name

DIANE K SMITH

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

05/31/1988

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006