DIANE L BAUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035661

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

BAUM

Business Name

DIANE L BAUM

Original Issue Date

09/11/1974

Expiration Date

01/31/1989

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005