DIANNE M MILLER STIVERS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048616

License Status

NOT RENEWED

Business

First Name

DIANNE M MILLER

Last Name

STIVERS

Business Name

DIANNE M MILLER STIVERS

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005