DIANA A BURKOTT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260121

License Status

NOT RENEWED

Business

First Name

DIANA A

Last Name

BURKOTT

Business Name

DIANA A BURKOTT

Original Issue Date

10/27/1990

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012