DIANA L POTTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041212950

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

POTTER

Business Name

DIANA L POTTER

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1994

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006