DIANE M KELLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044472

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

KELLY

Business Name

DIANE M KELLY

Original Issue Date

06/29/1978

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005