DIANE RUTH BLACKWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041462260

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

RUTH

Last Name

BLACKWELL

Business Name

DIANE RUTH BLACKWELL

Original Issue Date

02/27/2018

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021