DIANE BARBARA SHABAZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030807

License Status

INACTIVE

Business

First Name

DIANE BARBARA

Last Name

SHABAZ

Business Name

DIANE BARBARA SHABAZ

Original Issue Date

07/14/1972

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005