DIANE S MORTENSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041250638

License Status

NOT RENEWED

Business

First Name

DIANE S

Last Name

MORTENSON

Business Name

DIANE S MORTENSON

Original Issue Date

11/07/1988

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021