DIANA JEAN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049372

License Status

NOT RENEWED

Business

First Name

DIANA JEAN

Last Name

SMITH

Business Name

DIANA JEAN SMITH

Original Issue Date

07/02/1980

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005