DIANE M STRACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045454

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

STRACK

Business Name

DIANE M STRACK

Original Issue Date

01/26/1979

Expiration Date

01/31/1991

City

TONICA

State

Zip

61370

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005