DIANE M DOMMER KWAK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222383

License Status

ACTIVE

Business

First Name

DIANE M

Last Name

DOMMER KWAK

Business Name

DIANE M DOMMER KWAK

Original Issue Date

05/02/1984

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

Ever Disciplined

LastModifiedDate

03/01/2026