DIANE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031876

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

BLACK

Business Name

DIANE BLACK

Original Issue Date

11/13/1972

Expiration Date

01/31/1995

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

10/21/2005