DIANE M DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033076

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

DOUGLAS

Business Name

DIANE M DOUGLAS

Original Issue Date

05/05/1973

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/21/2005