MYRNA MARY DIEWALD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035257

License Status

INACTIVE

Business

First Name

MYRNA MARY

Last Name

DIEWALD

Business Name

MYRNA MARY DIEWALD

Original Issue Date

09/11/1974

Effective Date

11/20/2002

Expiration Date

01/31/2003

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/15/2005