DIANE L PORCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017425

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

PORCH

Business Name

DIANE L PORCH

Original Issue Date

12/19/1966

Effective Date

12/06/2010

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2012