DIANE M ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294942

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

ANDERSON

Business Name

DIANE M ANDERSON

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006