DIANA J FORSEA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300101

License Status

NOT RENEWED

Business

First Name

DIANA J

Last Name

FORSEA

Business Name

DIANA J FORSEA

Original Issue Date

09/23/1996

Effective Date

05/20/2008

Expiration Date

05/31/2010

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/16/2010