DIANA L MITSUKA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021225

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

MITSUKA

Business Name

DIANA L MITSUKA

Original Issue Date

12/07/1967

Expiration Date

01/31/1987

City

GLENDALE HEIGHTS

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005