DIANE K LA ROSA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297507

License Status

INACTIVE

Business

First Name

DIANE K

Last Name

LA ROSA

Business Name

DIANE K LA ROSA

Original Issue Date

07/16/1996

Effective Date

04/12/2012

Expiration Date

05/31/2014

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/06/2014