DIANNA G BLACKKETTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041273226

License Status

NOT RENEWED

Business

First Name

DIANNA G

Last Name

BLACKKETTER

Business Name

DIANNA G BLACKKETTER

Original Issue Date

04/06/1993

Effective Date

05/03/2010

Expiration Date

05/31/2012

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

07/27/2012