DIANE PHILLIPS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027653

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

PHILLIPS

Business Name

DIANE PHILLIPS

Original Issue Date

01/25/1971

Expiration Date

01/31/1987

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005