DIANA B SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260273

License Status

NOT RENEWED

Business

First Name

DIANA B

Last Name

SMITH

Business Name

DIANA B SMITH

Original Issue Date

10/12/1990

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/10/2012