DIANE SHORE - Registered Nurse License in Illinois | # 043034442

DIANE SHORE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034442

License Status

INACTIVE

Business

N

First Name

DIANE

Last Name

SHORE

Business Name

DIANE SHORE

Original Issue Date

02/22/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005