DIANA E HAZELMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022982

License Status

INACTIVE

Business

First Name

DIANA E

Last Name

HAZELMAN

Business Name

DIANA E HAZELMAN

Original Issue Date

04/01/1968

Effective Date

11/28/2012

Expiration Date

01/31/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/07/2014